Derakhsh Fozouni M.D. OB/GYN & Associates a Medical Corporation

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A95051 Issued in CA

Legal business name

DERAKHSH FOZOUNI M.D. OB/GYN & ASSOCIATES A MEDICAL CORPORATION

Practice address

555 E Tachevah Dr
Suite 2W-103
Palm Springs, CA 92262-5750

Phone

(760) 327-2707

Fax

(760) 778-3780

NPI assigned

Aug 18, 2008

Organization subpart

Yes

Parent organization

DERAKHSH FOZOUNI M.D. OB/GYN & ASSOCIATES A MEDICAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Dr. Derakhsh Fozouni, M.D.

Title

Owner

Phone

(760) 668-0858

Specialties & licenses 2

Addresses

Other names 1

• La Femme Health & Beauty Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Derakhsh Fozouni MD OBGYN

Locations

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1255587630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2462",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922632462",
            "telephone_number": "760-327-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E TACHEVAH DR",
            "address_2": "SUITE 2W-103",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922625750",
            "telephone_number": "760-327-2707",
            "fax_number": "760-778-3780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35400 Bob Hope Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922701774",
            "country_code": "US",
            "telephone_number": "760-832-6838",
            "fax_number": "760-778-3780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DERAKHSH FOZOUNI M.D. OB/GYN & ASSOCIATES A MEDICAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DERAKHSH FOZOUNI M.D. OB/GYN & ASSOCIATES A MEDICAL CORPORATION",
        "enumeration_date": "2008-08-18",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "FOZOUNI",
        "authorized_official_first_name": "DERAKHSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-668-0858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A95051",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A101294",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Femme Health & Beauty",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Obstetrics & Gynecology Physician in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.