Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fairmount Medical Clinic

Organization Family Medicine Physician · NPI 1760655534

Fairmount Medical Clinic is a Family Medicine Physician in San Diego, California. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
2

Practice location Address checks out

4074 Fairmont Ave
San Diego, CA 92105-1608
Phone: (619) 325-1819
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1760655534
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohammed Bailony — Owner · (619) 475-9174
NPI enumeratedApril 11, 2008
Last updated in NPPESApril 11, 2008
Mailing address4074 Fairmont Ave, San Diego, CA 92105-1608

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