Fariba Pour-Ansari, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48168 Issued in CA

Practice address

2320 Woolsey St Ste 312
Berkeley, CA 94705-1976

Phone

(510) 848-8624

Fax

(510) 848-0585

NPI assigned

Dec 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Berkeley Hills Dental Care, Inc.

  • General Practice Dentistry
  • Berkeley, CA
  • NPI 1356589196
  NPD (past) Authorized official
• David S. Nikfarjam DDS, Inc.

  • General Practice Dentistry
  • Berkeley, CA
  • NPI 1326248147
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386705168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 WOOLSEY ST STE 312",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051976",
            "telephone_number": "510-848-8624",
            "fax_number": "510-848-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 WOOLSEY ST STE 312",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051976",
            "telephone_number": "510-848-8624",
            "fax_number": "510-848-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUR-ANSARI",
        "first_name": "FARIBA",
        "name_prefix": "Ms.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison R. Potter, M.D.
• Corrie Potter
• Phyllis Potter, CSW
• Brian Richard Potts, MD
• Sivamanojna Vani Potturi
• Jessica Pourhassanian
• Gail Kirk Poust, LMFT
• Elizabeth S Powell, M.D.
• Lora Powell
• Monika Lynne Poxon, PSY.D.

• General Practice Dentistry in Berkeley, CA
• Providers in Berkeley, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.