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

Dr. Fady Boutros, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1699125880

Dr. Fady Boutros, MD is a Physical Medicine and Rehabilitation in Orange, California. Qualified in 2016, 10 years ago. Practices with Integrated Rehabilitation Consultants PC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

101 The City Dr S Bldg 53
Orange, CA 92868-3201
Phone: (909) 331-1602
Show map & directions

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

Additional practice locations (1)

  • 500 W Hospital Rd, French Camp, CA 95231-9693 — (209) 468-6937

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence A157668 (CA)

Record details

NPI number1699125880
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2016
Last updated in NPPESMay 18, 2020
Certification dateMay 18, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Integrated Rehabilitation Consultants Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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