Organization Active NPI

Parvez Fatteh, M.D. a Medical Corporation

  • Specialist
  • Hayward, CA
National Provider Identifier
1255452793
Registry record updated Sep 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A66560 Issued in CA
Legal business name
PARVEZ FATTEH, M.D. A MEDICAL CORPORATION
Practice address
24301 Southland Dr Ste 411
Hayward, CA 94545-1551
Phone
(510) 265-5795
Fax
(510) 732-5461
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2007

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

Authorized official

Name
Dr. Parvez Fatteh, M.D.
Title
Owner
Phone
(510) 265-5795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A66560 CA Primary

Addresses

Primary practice location

24301 Southland Dr Ste 411
Hayward, CA 94545-1551

Mailing address

24301 Southland Dr Ste 411
Hayward, CA 94545-1551
Phone (510) 265-5795

Other identifiers 1

IdentifierTypeStateIssuer
A66560OtherCAMD LIC #

National Provider Directory

National Provider Directory

Locations

5820 Stoneridge Mall Rd
Ste 203
Pleasanton, CA 94588
Phone (925) 730-0202

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188777600000",
    "number": "1255452793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24301 SOUTHLAND DR STE 411",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945451551",
            "telephone_number": "510-265-5795",
            "fax_number": "510-732-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24301 SOUTHLAND DR STE 411",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945451551",
            "telephone_number": "510-265-5795",
            "fax_number": "510-732-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARVEZ FATTEH, M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-09-03",
        "status": "A",
        "authorized_official_last_name": "FATTEH",
        "authorized_official_first_name": "PARVEZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-265-5795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A66560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LIC #",
            "identifier": "A66560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.