Individual provider Active NPI

Fariba Javaherian, M.D

  • Dermatology Physician
  • Northridge, CA
National Provider Identifier
1114088804
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A052405 Issued in CA
Practice address
17075 Devonshire St Ste 208
Northridge, CA 91325-5408
Phone
(818) 217-4351
Fax
(818) 217-4104
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A052405 CA Primary

Addresses

Primary practice location

17075 Devonshire St Ste 208
Northridge, CA 91325-5408

Mailing address

17075 Devonshire St Ste 208
Northridge, CA 91325-5408
Phone (818) 217-4351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17075 Devonshire St
Northridge, CA 91325-1600

Hospital & facility affiliations

  • Presidential Home Health, Inc Home health agency, Woodland Hills, CA, CCN 559304
  • Centurion Home Health Care, Inc. Home health agency, Sherman Oaks, CA, CCN 559735
  • Unique Care Los Angeles Home Health Care, Inc Home health agency, Agoura Hills, CA, CCN 059639
  • Skylar Home Health, Inc Home health agency, Sherman Oaks, CA, CCN 559083
  • Florence Home Health Care Home health agency, Thousand Oaks, CA, CCN 059243
  • I Know Hospice Inc Hospice, Tarzana, CA, CCN B31712
  • Clear Soul Hospice Inc Hospice, Glendale, CA, CCN B41745
  • Kaplan Hospice, Inc Hospice, N Hollywood, CA, CCN B41643
  • Throne Hospice Inc Hospice, N Hollywood, CA, CCN A11651
  • Proper Care Hospice Hospice, Encino, CA, CCN B51548

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A052405CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Throne Hospice, Inc. PastSince May 8, 2022 Accepting new patients
Seventh Ocean Hospice Care, Inc. PastSince Sep 16, 2023 Accepting new patients
Infinite Life, Inc. PastSince Jan 1, 2024 Accepting new patients
Richard Niemeyer, MD, Inc. Past Accepting new patients
Edem Hospice Inc PastSince Oct 3, 2022 Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1114088804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17075 DEVONSHIRE ST STE 208",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913255408",
            "telephone_number": "818-217-4351",
            "fax_number": "818-217-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17075 DEVONSHIRE ST STE 208",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913255408",
            "telephone_number": "818-217-4351",
            "fax_number": "818-217-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVAHERIAN",
        "first_name": "FARIBA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A052405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.