Azita Foroutani, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

95029071 Issued in CA

Practice address

3700 Sunset LN Ste 4
Antioch, CA 94509-6123

Phone

(925) 754-7200

Fax

(925) 754-7290

NPI assigned

Aug 22, 2024

Sex

Female

Sole proprietor

No

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

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aforoutani232442@hpmg.direct-ci.net

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.

• Barsam Gharagozlou, MD Inc.

  • Primary Care Clinic/Center
  • Antioch, CA
  • NPI 1356839872
  NPD

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1265265482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 CONCORD BLVD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945192611",
            "telephone_number": "707-689-9710",
            "fax_number": "925-754-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 SUNSET LN STE 4",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096123",
            "telephone_number": "925-754-7200",
            "fax_number": "925-754-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOROUTANI",
        "first_name": "AZITA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95029071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lanadria Eryca Ford
• Timothy Patrick Ford, M.F.T.
• Fiera Foreman, NP
• Stephen Mollica Forkins, LCSW
• Michael D Forks
• Stephen H. Foster, MD
• Hope Fowler
• Rebecca Francis
• William O.S. Francis, MD
• Rohini Franco, RPH

• Pediatric Nurse Practitioner in Antioch, CA
• Providers in Antioch, CA by specialty
• Pediatric Nurse Practitioner in California

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