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Export Provider Record NPI 1073586665
Rebecca FazilatMD
Active
NPI Number1073586665
NPI TypeNPI-1 Individual
SpecialtyPediatrics
Provider Details
NPI1073586665
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-02-13
Last Updated2012-01-24
Mailing Address2350 W El Camino Real, 2nd Floor
Mountain View, CA 94040-6201
United States
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Primary Practice Address795 El Camino Real
Palo Alto, CA 94301-2302
United States
Phone: (650) 853-2916
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Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes208000000X – PediatricsCAA90661
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About NPI 1073586665

Rebecca Fazilat MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1073586665. The primary specialty listed is Pediatrics. The provider is located in Palo Alto, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-02-13. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1073586665?

NPI 1073586665 belongs to Rebecca Fazilat MD, a Pediatrics in Palo Alto, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1073586665 active?

The current status of NPI 1073586665 in the NPPES registry is Active. The record was last updated on 2012-01-24.

What specialty is NPI 1073586665?

NPI 1073586665 is classified under the taxonomy Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1073586665?

You can verify NPI 1073586665 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1073586665?

The primary practice address on file for NPI 1073586665 is 795 El Camino Real, Palo Alto, CA 94301-2302. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1073586665 issued?

NPI 1073586665 was first issued (enumerated) on 2006-02-13. The NPPES record was last updated on 2012-01-24.

Practice Location Map

Rebecca Fazilat is located at 795 El Camino Real, Palo Alto, CA. Use the map below to find directions or verify the practice location.

📍 795 El Camino Real, Palo Alto, CA 94301-2302  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Rebecca Fazilat. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1073586665. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
PediatricsA90661CA
Data Verified from CMS NPPES Last synced: 2026-06-19 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162