NPIMap

Organization Active NPI

Forouz Jowkar LLC

  • Medical Physician Assistant
  • Santa Fe, NM
National Provider Identifier
1225457260
Registry record updated Apr 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA2008-0051 Issued in NM
Legal business name
FOROUZ JOWKAR LLC
Practice address
1925 Aspen Dr
# 100B
Santa Fe, NM 87505-5459
Phone
(505) 424-9172
Fax
(505) 438-1814
NPI assigned
Apr 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2014

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

Authorized official

Name
Forouz Jowkar, PANPI 1942446273
Title
Ceo Medical Director
Phone
(505) 424-9172

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X PA2008-0051 NM Primary

Addresses

Primary practice location

1925 Aspen Dr
# 100B
Santa Fe, NM 87505-5459

Mailing address

1925 Aspen Dr
# 100B
Santa Fe, NM 87505-5459
Phone (505) 424-9172

National Provider Directory

National Provider Directory

Locations

1925 Aspen Dr
Ste 100B
Santa Fe, NM 87505
Phone (505) 424-9172

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396828800000",
    "number": "1225457260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 ASPEN DR",
            "address_2": "# 100B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055459",
            "telephone_number": "505-424-9172",
            "fax_number": "505-438-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 ASPEN DR",
            "address_2": "# 100B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055459",
            "telephone_number": "505-424-9172",
            "fax_number": "505-438-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOROUZ JOWKAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-07",
        "last_updated": "2014-04-07",
        "status": "A",
        "authorized_official_last_name": "JOWKAR",
        "authorized_official_first_name": "FOROUZ",
        "authorized_official_title_or_position": "CEO MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "505-424-9172",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "PA2008-0051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.