Medical Youth Fountain Incorporated
NPI 1366132243ActiveOrganization· Surgery· Upland, CA
Surgery in Upland, California, registered in NPPES in May 2023. The authorized official on file is Farabi Mohamed Hussain, MD, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366132243 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 12, 2023 |
| Last updated in NPPES | May 12, 2023 |
| Certified by provider | May 12, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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