Individual provider Active NPI

Firoozeh Dastmalchi, M.D.

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1366683732
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301055424 Issued in MI
Practice address
490 Post St Ste 900
San Francisco, CA 94102-1410
Phone
(415) 362-7177
Fax
(154) 962-1317
NPI assigned
Mar 16, 2009
Last updated
Jun 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301055424 MI Primary

Addresses

Primary practice location

490 Post St Ste 900
San Francisco, CA 94102-1410

Mailing address

490 Post St
Ste 900
San Francisco, CA 94102-1410
Phone (415) 362-7177

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
I20170330002285 CA Practitioner - Family Practice 9537340104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Columbia School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Officemd a Medical CorporationGroup PAC ID 2668777145, 5 clinicians

Practice addresses (Care Compare)

490 Post St
Suite 900
San Francisco, CA 94102-1410
Phone (415) 362-7177

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301055424MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Officemd, a Medical Corporation CurrentSince Feb 1, 2017 Accepting new patients

Locations

450 Sutter St
Rm 1723
San Francisco, CA 94108
Phone (415) 362-2630

490 Post St
Ste 900
San Francisco, CA 94102
Phone (415) 362-7177

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1366683732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 POST ST",
            "address_2": "STE 900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021410",
            "telephone_number": "415-362-7177",
            "fax_number": "415-362-8309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 POST ST STE 900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021410",
            "telephone_number": "415-362-7177",
            "fax_number": "154-962-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASTMALCHI",
        "first_name": "FIROOZEH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-16",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301055424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.