Bahareh Fatemi, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS108272 Issued in CA

Practice address

581 Foster City Blvd
Foster City, CA 94404-1695

Phone

(650) 286-9999

NPI assigned

Apr 1, 2024

Last updated

Apr 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Polly Chan DDS Inc

  • Dentist
  • Foster City, CA
  • NPI 1508931247

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1245081835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 EDGEWATER BLVD APT 301",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944042843",
            "telephone_number": "415-696-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 FOSTER CITY BLVD",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944041695",
            "telephone_number": "650-286-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATEMI",
        "first_name": "BAHAREH",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS108272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Feiner Engelskirger, PSYD
• Stephanie Kay Erickson, OTD, OTR/L
• Laura Christine Esposito, ATC
• Miriam Etienne, DNP, FNP-BC
• Jaleena Fanuncio
• Daniela Fazzio
• Melanie Feliciano, O.D.
• Jeffrey Finer, MDPHD
• Meredith Fisher, WHNP-BC
• La Donna D Ford, M.D.

• General Practice Dentistry in Foster City, CA
• Providers in Foster City, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.