Active NPI
Fariba Javaherian, M.D
- Dermatology Physician
- Northridge, CA
National Provider Identifier
1114088804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A052405
- 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
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 |
|---|---|---|---|---|
| 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
- Centurion Home Health Care, Inc.
- Unique Care Los Angeles Home Health Care, Inc
- Skylar Home Health, Inc
- Florence Home Health Care
- I Know Hospice Inc
- Clear Soul Hospice Inc
- Kaplan Hospice, Inc
- Throne Hospice Inc
- Proper Care Hospice
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A052405 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Throne Hospice, Inc. | Past | Accepting new patients | |
| Seventh Ocean Hospice Care, Inc. | Past | Accepting new patients | |
| Infinite Life, Inc. | Past | Accepting new patients | |
| Richard Niemeyer, MD, Inc. | Past | Accepting new patients | |
| Edem Hospice Inc | Past | 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.
-
- Community Based Hospice Care Agency
- Van Nuys, CA
- NPI 1790397883
-
- Community Based Hospice Care Agency
- North Hollywood, CA
- NPI 1285240622
-
- General Practice Physician
- Granada Hills, CA
- NPI 1003094020
-
- Community Based Hospice Care Agency
- Arleta, CA
- NPI 1851984413
-
- Community Based Hospice Care Agency
- North Hollywood, CA
- NPI 1730745670
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Sherman Oaks, CA
- NPI 1457972861
-
- Home Health Agency
- Thousand Oaks, CA
- NPI 1295990034
-
- Home Health Agency
- North Hollywood, CA
- NPI 1972092468
-
- Home Health Agency
- Agoura Hills, CA
- NPI 1326388638
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.