Fatameh Niloufar Nadershahi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

40580 Issued in CA

Practice address

122 Tunstead Ave
San Anselmo, CA 94960-2622

Phone

(415) 459-0114

Fax

(415) 459-2717

NPI assigned

Feb 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Fatameh Niloufar Eghtessadi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225171499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 TUNSTEAD AVE",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602622",
            "telephone_number": "415-459-0114",
            "fax_number": "415-459-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 TUNSTEAD AVE",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602622",
            "telephone_number": "415-459-0114",
            "fax_number": "415-459-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADERSHAHI",
        "first_name": "FATAMEH",
        "middle_name": "NILOUFAR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "40580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FATAMEH",
            "last_name": "EGHTESSADI",
            "middle_name": "NILOUFAR",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jesse Morris, DC
• Stephanie Morris, PH.D.
• Audrey K Mosquera
• Heather L. Murphy, CTRS
• Patrizia De Franceschi Nader
• Nader A Nadershahi, DDS
• Kathleen Marie Nash
• Neurology Clinic of Marin, a Medical Corporation
• Patrick Michael Newton, RDN
• Nicholas Kerry & Jeffrey Salman OD

• Dentist in San Anselmo, CA
• Providers in San Anselmo, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.