Dr. Brian T Fagan

M.D. | Pediatric Cardiology | Male

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Complete Profile:

Dr. Brian T Fagan basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Dr. Brian T Fagan
Credential :	M.D.
Gender :	Male

Business Address:

Dr. Brian T Fagan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	3020 Childrens Way San Diego, CA, 92123-4223 United States
Phone Number :	858-966-5855
Fax Number :	858-571-7903

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1740308550
NPI Entity Type :	Individual
First Enrolment Date :	27 Mar, 2007
Last Updated On :	07 Nov, 2014

Medicare Participation:

Dr. Brian T Fagan participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	6305988676
Medicare Enrollment ID :	I20100125000585
Primary Specialty :	Cardiovascular Disease (cardiology)
Medical School :	University Of California, San Diego School Of Medicine
Graduation Year :	2001
Accepts Medicare?	Yes. Dr. Brian T Fagan accepts medicare insurance.

Group Practice Association:

Dr. Brian T Fagan is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Brian T Fagan is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Rady Children's Hospital - San Diego	3971677493	120	3010 Children's Way Rady Children's Specialists San Diego, CA - 921234223 Ph: 8585761700	Yes
Rady Children's Hospital - San Diego	3971677493	120	3020 Childrens Way Mc 5069 Rady Children's Specialists San Diego, CA - 921234223 Ph: 8585761700	Yes
Rady Children's Hospital - San Diego	3971677493	120	3030 Childrens Way San Diego, CA - 921234223	Yes
Rady Children's Hospital - San Diego	3971677493	120	8110 Birmingham Way Bldg 28 Rady Children's Specialists San Diego, CA - 921234223 Ph: 8589664003	Yes
Rady Children's Hospital - San Diego	3971677493	120	25170 Hancock Ave Murrieta, CA - 925625969 Ph: 858309630096171	Yes
Rady Children's Hospital - San Diego	3971677493	120	25485 Medical Ctr Dr Suite 100 Murrieta, CA - 925626927 Ph: 9516001640	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Brian T Fagan are as mentioned. Primary taxonomy code for Dr. Brian T Fagan, M.D. is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	Yes	A82153	CA

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	3020 Childrens Way, Mc 5003 San Diego, CA, 92123-4223 United States
Phone Number :	858-309-6300
Fax Number :	858-309-6301

Business Location:

Patients can refer following map for directions to Dr. Brian T Fagan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.