Nadereh H Ebrahimi, DDS, MS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

56293 Issued in CA

Practice address

302 Fresno St
Suite 204
Fresno, CA 93706-3600

Phone

(559) 457-5700

Fax

(559) 457-5790

NPI assigned

Sep 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Credentials

Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nebrahimi19726@clinicasierravista.direct-ci.com

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.

• Clinica Sierra Vista

  • Federally Qualified Health Center (FQHC)
  • Fresno, CA
  • NPI 1740439314
  Medicare reassignment NPD
• Clinica Sierra Vista

  • Federally Qualified Health Center (FQHC)
  • Fresno, CA
  • NPI 1033486048
  NPD
• Clinica Sierra Vista

  • Community/Retail Pharmacy
  • Lamont, CA
  • NPI 1275161325
  NPD
• Clinica Sierra Vista

  • Federally Qualified Health Center (FQHC)
  • Bakersfield, CA
  • NPI 1073515425
  NPD (past)
• Sequoia Community Health Foundation,Inc.

  • General Practice Dentistry
  • Fresno, CA
  • NPI 1700084373
  NPD (past)

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1386839538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 N FINE AVE",
            "address_2": "SUITE 116",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271528",
            "telephone_number": "559-457-5800",
            "fax_number": "559-457-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 FRESNO ST",
            "address_2": "SUITE 204",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937063600",
            "telephone_number": "559-457-5700",
            "fax_number": "559-457-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBRAHIMI",
        "first_name": "NADEREH",
        "middle_name": "H",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56293",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "56293",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adele Louise Eastman, LVN
• Courtney A Eastman, PA-C
• Eavers Dialysis LLC
• Anthony Eberlein
• Alexzandra Dora Ebert-France
• Paymon Ebrahimzadeh, D.O.
• Maria Gabriela Echaverry-Centeno, DDS
• Juana Echeveste-Davis I
• Silvia Echeveste
• Audrey Echibe, PHARMD

• General Practice Dentistry in Fresno, CA
• Providers in Fresno, 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 Sep 11, 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.