Individual provider Active NPI

Fariba Hajy Iseyedsoleiman

  • Nurse Practitioner
  • Palo Alto, CA
National Provider Identifier
1366911786
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95010091 Issued in CA
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

Updated by the provider on Nov 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190225000197 CA Practitioner - Nurse Practitioner 8325387012 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Parnian Home Care LLC Current Accepting new patients
Stanford Health Care Current Accepting new patients
Serenity Cancer Center Inc CurrentSince Dec 1, 2020 Accepting new patients
West Coast Wound and Skin Care Inc CurrentSince May 13, 2024 Accepting new patients
Bay Area House Call Physicians PastSince Dec 1, 2018 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.