Fardad Baroumand, MD

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

A103643 Issued in CA

Practice address

15047 Los Gatos Blvd
Ste.200
Los Gatos, CA 95032-2054

Phone

(408) 364-6799

Fax

(408) 378-4510

NPI assigned

Nov 2, 2006

Sex

Male

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

• Fardad Baroumand Shamsaldini Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: fbaroumand674163@hisp.ehr.sutterhealth.org
• Direct secure messaging: fardad.baroumandshamsaldini@2291.securemail.prognocis.com

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.

• Abaci and Massey Pain Management Center a Medical Corporation

  • Pain Medicine Physician
  • Los Gatos, CA
  • NPI 1487758074
  NPD (past)
• Georgia Pain Physicians PC

  • Pain Medicine Physician
  • Marietta, GA
  • NPI 1407884489
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1245319375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15047 LOS GATOS BLVD",
            "address_2": "STE.200",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322054",
            "telephone_number": "408-364-6799",
            "fax_number": "408-378-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15047 LOS GATOS BLVD",
            "address_2": "STE.200",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322054",
            "telephone_number": "408-364-6799",
            "fax_number": "408-378-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAROUMAND",
        "first_name": "FARDAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A103643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FARDAD",
            "last_name": "BAROUMAND SHAMSALDINI",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Beverly Barboza, M.D.
• Kyle Barcelona
• Bethanne Baretich, DC
• Poopak Barirani, PHARMD
• Claire Anne Barkley, M.A., MFT
• John Charles Barr, PT, DPT
• Barragan Professional Marriage and Family Therapy Inc
• Barragan Psychiatric Nursing Services Inc
• Carissa Lianna Barragan, YOUTH COUNSELOR
• Taylor Dolores Barragan, PMHNP, APRN, LMFT

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.