Active NPI
Farnaz Faye Jamali, MD
- General Practice Physician
- Mill Valley, CA
National Provider Identifier
1003995135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- G81063
- Practice address
- 250 E Blithedale Ave Ste B
Mill Valley, CA 94941-2092 - Phone
- (415) 887-8718
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | G81063 | CA | Primary |
Addresses
Primary practice location
250 E Blithedale Ave Ste B
Mill Valley, CA 94941-2092
Mailing address
250 E Blithedale Ave Ste B
Mill Valley, CA 94941-2092
Phone (415) 887-8718
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G810630 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G81063 | CA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1003995135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 E BLITHEDALE AVE STE B",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949412092",
"telephone_number": "415-887-8718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 E BLITHEDALE AVE STE B",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949412092",
"telephone_number": "415-887-8718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMALI",
"first_name": "FARNAZ",
"middle_name": "FAYE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "G81063",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G810630",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mill Valley, CA
- Christopher Ivanoff, DDS
- Mark Greg Iwanicki, ND
- Nancy Brokaw Jacobs, LCSW
- Spencer Barrett Jacobs, MFT
- Howard Jaffe, M.D.
- Janice Tomita PT & Associates
- Marilee Catherine Jasan, MD
- Jean S. Brennan O.D., a Professional Corp.
- Jennifer Lin OD a Professional Corporation (Wink Optometry)
- Alison Johnston, NBC-HWC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.