What is Marie Fagan's NPI number?

Marie Fagan's National Provider Identifier (NPI) is 1104261726, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Marie Fagan's specialty?

Marie Fagan is listed in the NPPES registry with a primary specialty of Military Health Care Provider (Other Service Providers).

Where is Marie Fagan located?

Marie Fagan's practice location on file with NPPES is 4077 32nd St, San Diego, CA 92104-2080.

What is Marie Fagan's phone number?

The practice phone number listed in the NPPES registry for Marie Fagan is (678) 764-4067.

Is Marie Fagan's NPI active?

Yes — Marie Fagan's NPI (1104261726) is active in the NPPES registry as of the last update on 2013-05-09.

IndividualActive

Marie Fagan, IDC

NPI 1104261726 · Military Health Care Provider · San Diego, CA

Marie Fagan, IDC is a Military Health Care Provider provider in San Diego, CA (NPI 1104261726).

Provider details

NPI number: 1104261726
Entity type: Individual
Primary specialty: Military Health Care ProviderOther Service Providers
Credential: IDC
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

Military Health Care ProviderPrimary171000000X
Other Service Providers

Profile Score

Established profile(71/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
13 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

4077 32nd St

Apt 8

San Diego, CA 92104-2080

Phone: (678) 764-4067

Street-level locationGet directions

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Mailing address