Individual provider Active NPI

Sassan Falsafi, M.D.

  • Otolaryngology Physician
  • Lafayette, CA
National Provider Identifier
1306956362
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A85934 Issued in CA
Practice address
911 Moraga Rd
Suite 102
Lafayette, CA 94549-4579
Phone
(925) 299-9919
Fax
(510) 635-9514
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A85934 CA Primary

Addresses

Primary practice location

911 Moraga Rd
Suite 102
Lafayette, CA 94549-4579

Mailing address

911 Moraga Rd
Ste 102
Lafayette, CA 94549-4591
Phone (925) 299-9919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040814000273 CA Practitioner - Otolaryngology 0941273387 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Indiana University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

911 Moraga Rd
Suite 102
Lafayette, CA 94549-4591
Phone (925) 299-9919

Hospital & facility affiliations

  • John Muir Medical Center - Walnut Creek Campus Hospital, Walnut Creek, CA, CCN 050180
  • John Muir Medical Center - Concord Campus Hospital, Concord, CA, CCN 050496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
John Muir Trauma Physicians Billing Service Otolaryngology CurrentSince Apr 6, 2017 Accepting new patients
John Muir Health Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
John Muir Health Past Accepting new patients

Locations

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516147200000",
    "number": "1306956362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 MORAGA RD",
            "address_2": "STE 102",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494591",
            "telephone_number": "925-299-9919",
            "fax_number": "925-299-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 MORAGA RD",
            "address_2": "SUITE 102",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494579",
            "telephone_number": "925-299-9919",
            "fax_number": "510-635-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALSAFI",
        "first_name": "SASSAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2018-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A85934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CA

Sources for this page

Verify at the official NPI Registry.