Individual provider Active NPI

Ghaneh Fananapazir, MD

  • Diagnostic Radiology Physician
  • Sacramento, CA
National Provider Identifier
1366698144
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
61995 Issued in AZ
Practice address
4860 Y St Ste 3100
Sacramento, CA 95817-2309
Phone
(916) 734-6306
NPI assigned
Aug 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 180860 NC
Diagnostic Radiology Physician 2085R0202X 125826 CA
Diagnostic Radiology Physician 2085R0202X 61995 AZ Primary

Addresses

Primary practice location

4860 Y St Ste 3100
Sacramento, CA 95817-2309

Mailing address

4860 Y St Ste 3100
Sacramento, CA 95817-2309
Phone (916) 734-6306

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
I20130613000535 CA Practitioner - Diagnostic RadiologyPractitioner - DermatologyPractitioner - Interventional Radiology 9335305424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Maryland School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 703-3011

Hospital & facility affiliations

  • University of California Davis Medical Center Hospital, Sacramento, CA, CCN 050599

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
180860NCMDBody Imaging Physician
61995AZMDDiagnostic Radiology Physician
125826CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Diagnostic Radiology CurrentSince Jul 1, 2013 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the University of Ca CurrentSince Jul 1, 2013 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Duke University Health System, Inc. Past Accepting new patients

Locations

3200 Bell Rd
Auburn, CA 95603
Phone (530) 886-7616

7551 Madison Ave
Citrus Hts, CA 95610
Phone (916) 904-3000

8110 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 683-3955

3850 G St
Merced, CA 95340
Phone (209) 384-6528

10850 White Rock Rd
Rancho Cordova, CA 95670

3201 Data Dr
Rncho Cordova, CA 95670
Phone (916) 851-1424

2261 Douglas Blvd
Roseville, CA 95661
Phone (916) 783-1044

4860 Y St
Ste 3100
Sacramento, CA 95817
Phone (916) 703-2273

4860 Y St
Ste 500
Sacramento, CA 95817
Phone (916) 734-3171

4868 X St
Sacramento, CA 95817
Phone (916) 703-1503

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

Organizations & group practices 6

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 1

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": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1366698144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 Y ST STE 3100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172309",
            "telephone_number": "916-734-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 Y ST STE 3100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172309",
            "telephone_number": "916-734-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANANAPAZIR",
        "first_name": "GHANEH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-13",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NC",
            "license": "180860",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "125826",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "61995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.