Active NPI
Fariba Hajy Iseyedsoleiman
- Nurse Practitioner
- Palo Alto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95010091
- Practice address
- 4067 Transport St
Palo Alto, CA 94303-4914 - Phone
- (650) 384-0986
- NPI assigned
- Nov 14, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95010091 | CA | Primary |
Addresses
Primary practice location
4067 Transport St
Palo Alto, CA 94303-4914
Mailing address
125 Heather LN
Palo Alto, CA 94303-3002
Phone (734) 788-7815
Other practice location 1
125 Heather Ln
Palo Alto, CA 94303-3002
Phone (734) 788-7815
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parnian Home Care LLC | Current | Accepting new patients | |
| Stanford Health Care | Current | Accepting new patients | |
| Serenity Cancer Center Inc | Current | Accepting new patients | |
| West Coast Wound and Skin Care Inc | Current | Accepting new patients | |
| Bay Area House Call Physicians | Past | Accepting new patients |
Locations
2501 W Burbank Blvd
Ste 200
Burbank, CA 91505
Phone (818) 732-8272
1805 E Fir Ave
Ste 102
Fresno, CA 93720
Phone (559) 325-3070
1099 E Champlain Dr
Ste A144
Fresno, CA 93720
1821 E Chapman Ave
Fullerton, CA 92831
Phone (714) 879-7301
3615 E Imperial Hwy
Lynwood, CA 90262
Phone (310) 639-4623
300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710
Interoperability endpoints
- fariba-hajy.iseyedsoleiman@serenity.ikm.direct-ci.com
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.
-
- Medical Oncology Physician
- Fresno, CA
- NPI 1770183717
-
- Surgery Physician
- Burbank, CA
- NPI 1437675980
-
- Internal Medicine Physician
- Palo Alto, CA
- NPI 1417928631
-
- In Home Supportive Care Agency
- Palo Alto, CA
- NPI 1447802731
-
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
-
- Internal Medicine Physician
- Palo Alto, CA
- NPI 1609001700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542153600000",
"number": "1366911786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 HEATHER LN",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943033002",
"telephone_number": "734-788-7815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4067 TRANSPORT ST",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943034914",
"telephone_number": "650-384-0986"
}
],
"practiceLocations": [
{
"address_1": "125 Heather Ln",
"address_purpose": "LOCATION",
"city": "Palo Alto",
"state": "CA",
"postal_code": "943033002",
"country_code": "US",
"telephone_number": "734-788-7815",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAJY ISEYEDSOLEIMAN",
"first_name": "FARIBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-14",
"last_updated": "2018-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95010091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.