Fairmont Dermatology Medical Associates Inc
NPI 1477729291ActiveOrganization· Dermatology· Lodi, CA
Dermatology in Lodi, California, registered in NPPES in May 2008, part of Fairmont Dermatlogy Medical Associates Inc. The authorized official on file is Abdallah Khourdaji, MD, President.
Overview
| NPI | 1477729291 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Fairmont Dermatlogy Medical Associates Inc |
| NPI issued | May 1, 2008 |
| Last updated in NPPES | Jun 13, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 00A341430 | CA |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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