Individual provider Active NPI

Fariba Monfared

  • Student in an Organized Health Care Education/Training Program
  • Fremont, CA
National Provider Identifier
1124383492
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
39465 Paseo Padre Pkwy
Ste 2100
Fremont, CA 94538-5350
Phone
(510) 745-9151
NPI assigned
Jul 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

39465 Paseo Padre Pkwy
Ste 2100
Fremont, CA 94538-5350

Mailing address

39465 Paseo Padre Pkwy
Ste 2100
Fremont, CA 94538-5350
Phone (510) 745-9151

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1124383492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39465 PASEO PADRE PKWY",
            "address_2": "STE 2100",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945385350",
            "telephone_number": "510-745-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39465 PASEO PADRE PKWY",
            "address_2": "STE 2100",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945385350",
            "telephone_number": "510-745-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONFARED",
        "first_name": "FARIBA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.