Individual provider Active NPI

Farishta Nahebzada, PA-C

  • Physician Assistant
  • Modesto, CA
National Provider Identifier
1235902255
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
63595 Issued in CA
Practice address
2101 Tenaya Dr
Modesto, CA 95354-3930
Phone
(209) 722-4842
NPI assigned
Nov 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 63595 CA
Physician Assistant 363A00000X 63595 CA Primary

Addresses

Primary practice location

2101 Tenaya Dr
Modesto, CA 95354-3930

Mailing address

2801 Grewal Pkwy Apt 821
Modesto, CA 95356-8024
Phone (463) 201-0723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231114000662 CA Practitioner - Physician Assistant 6507213527 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Community HealthGroup PAC ID 1658349824, 106 clinicians

Practice addresses (Care Compare)

39500 Liberty St
Fremont, CA 94538-2211
Phone (510) 770-8040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Health Centers CurrentSince Nov 1, 2023 Accepting new patients
Bay Area Community Health CurrentSince May 6, 2025 Accepting new patients
Bay Area Community Health CurrentSince May 6, 2025 Accepting new patients
Golden Valley Health Center CurrentSince Nov 1, 2023 Accepting new patients
Bay Area Community Health Past Accepting new patients

Locations

1910 Customer Care Way
Atwater, CA 95301
Phone (209) 384-6488

1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111

40910 Fremont Blvd
Fremont, CA 94538
Phone (510) 770-8133

1860 Mowry Ave
Fremont, CA 94538
Phone (510) 608-6065

39500 Liberty St
Fremont, CA 94538
Phone (510) 770-8133

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

821 Texas Ave
Los Banos, CA 93635
Phone (209) 385-5481

250 Northgate Dr
Manteca, CA 95336
Phone (209) 239-5299

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871

1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 576-6766

1121 Hammond St
Modesto, CA 95351
Phone (209) 576-4437

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

637 Merced St
Newman, CA 95360
Phone (209) 862-0270

200 C St
Patterson, CA 95363
Phone (209) 892-6307

9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253

4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 863-3900

1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388

Interoperability endpoints

  • Direct secure messaging: fnahebzada743851@direct.ochin.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1235902255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 GREWAL PKWY APT 821",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953568024",
            "telephone_number": "463-201-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 TENAYA DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953543930",
            "telephone_number": "209-722-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAHEBZADA",
        "first_name": "FARISHTA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "63595",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "63595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.