NPIMap

Individual provider Active NPI

Farzaneh Tabrizi, MD

  • Family Medicine Physician
  • Los Gatos, CA
National Provider Identifier
1194826909
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A64717 Issued in CA
Practice address
16400 Lark Ave
Ste 300
Los Gatos, CA 95032-2547
Phone
(408) 356-1199
Fax
(408) 356-5344
NPI assigned
Sep 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A64717 CA Primary

Addresses

Primary practice location

16400 Lark Ave
Ste 300
Los Gatos, CA 95032-2547

Mailing address

16400 Lark Ave
Ste 300
Los Gatos, CA 95032-2547
Phone (408) 356-1199

Other identifiers 1

IdentifierTypeStateIssuer
00A647170MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081125000073 CA Practitioner - Family PracticePractitioner - Emergency Medicine 0749340552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Temple University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16400 Lark Ave
Suite 100
Los Gatos, CA 95032-2563
Phone (408) 384-9719

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
18.64 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
62.13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A64717CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Bay Medical Center, Inc. CurrentSince Jan 23, 2020 Accepting new patients
South Bay Medical Center, Inc. Current Accepting new patients
Ali Moayed MD Inc Med GRP Past Accepting new patients
Los Gatos Medical Center Inc Past Accepting new patients
Los Gatos Medical Center Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Los Gatos Medical Center ASC PastSince Jan 1, 2011 Accepting new patients

Locations

16400 Lark Ave
Ste 100
Los Gatos, CA 95032
Phone (408) 358-2805

Organizations & group practices 9

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

Hospital & facility affiliations 7

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194826909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16400 LARK AVE",
            "address_2": "STE 300",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322547",
            "telephone_number": "408-356-1199",
            "fax_number": "408-356-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16400 LARK AVE",
            "address_2": "STE 300",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322547",
            "telephone_number": "408-356-1199",
            "fax_number": "408-356-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABRIZI",
        "first_name": "FARZANEH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A64717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A647170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.