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

Fady S Nasrallah, MD

Individual provider Surgery Physician · NPI 1871753905

Fady S Nasrallah, MD is a General Surgery in LA Jolla, California. Qualified in 2001, 25 years ago. Practices with Scripps Health, a 1,446-clinician group and accepts Medicare assignment. Licensed in California and North Dakota.

Years since qualifying
25
Licensed in
CA, ND
In the registry since
2008
Specialties on file
6
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

9888 Genesee Ave Lj 601
LA Jolla, CA 92037-1205
Phone: (858) 626-6353
Fax: (858) 626-6354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Trauma Surgery Physician (primary) Taxonomy 2086S0127X · Licence A123254 (CA)
Surgery Physician Taxonomy 208600000X · Licence 11176 (ND)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 11176 (ND)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence 11176 (ND)
Surgery Physician Taxonomy 208600000X · Licence A123254 (CA)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence A123254 (CA)

Record details

NPI number1871753905
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2008
Last updated in NPPESMay 2, 2013

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Scripps Health — 1446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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