Active NPI
Fereshteh Jahanpanah M.D., a Professional Medical Corporation
- Family Medicine Physician
- El Cajon, CA
National Provider Identifier
1396082517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G65104
- Legal business name
- FERESHTEH JAHANPANAH M.D., A PROFESSIONAL MEDICAL CORPORATION
- Practice address
- 343 E Main St Ste 101
El Cajon, CA 92020-3942 - Phone
- (619) 447-6001
- Fax
- (619) 447-6096
- NPI assigned
- Jan 8, 2013
- Last updated
- Jan 8, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charlene Anne Wulff
- Title
- Office Manager
- Phone
- (619) 312-7049
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G65104 | CA | Primary |
Addresses
Primary practice location
343 E Main St Ste 101
El Cajon, CA 92020-3942
Mailing address
PO Box 1626
El Cajon, CA 92022-1626
Phone (619) 447-6001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609194570 | Medicaid | CA |
Other names 1
- Fereshteh Jahanpanah, M.D., APMC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
343 E Main St
Ste 101
El Cajon, CA 92020
Phone (619) 447-6001
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Physician
- El Cajon, CA
- NPI 1801972716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357603200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736294400000",
"number": "1396082517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1626",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920221626",
"telephone_number": "619-447-6001",
"fax_number": "619-447-6096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 E MAIN ST STE 101",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920203942",
"telephone_number": "619-447-6001",
"fax_number": "619-447-6096"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FERESHTEH JAHANPANAH M.D., A PROFESSIONAL MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-08",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A",
"authorized_official_last_name": "WULFF",
"authorized_official_first_name": "CHARLENE",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "619-312-7049"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G65104",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1609194570",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Fereshteh Jahanpanah, M.D., APMC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in El Cajon, CA
- Jeanette Nicole Fellis
- Wren A Felton, DC
- Kirsten Marie Fenn, D.D.S.,M.S.D
- Ronald Sam Fenn, D.D.S.
- Fereshteh Jahanpanah a Professional Medical Corporation
- Genaro Fernandez, MD
- Luz Maria Fernandez, LCSW
- Steven Ferson, PTA
- Mae Pet Fetherlin, FNP
- FF Medical Transportation LLC (FF medical transportation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.