Farnaz Dana Fakhari, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD157343 Issued in OR

Practice address

18380 Willamette Dr
201
West Linn, OR 97068-1200

Phone

(503) 344-6487

Fax

(503) 972-1689

NPI assigned

Apr 29, 2008

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 OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Oklahoma College of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Farnaz Dana Fakhari, MD, PC

  • Medical Specialty Clinic/Center
  • West Linn, OR
  • NPI 1528311123
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488499200000",
    "number": "1396910451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18380 WILLAMETTE DR",
            "address_2": "201",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970681200",
            "telephone_number": "503-344-6487",
            "fax_number": "503-972-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18380 WILLAMETTE DR",
            "address_2": "201",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970681200",
            "telephone_number": "503-344-6487",
            "fax_number": "503-972-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAKHARI",
        "first_name": "FARNAZ",
        "middle_name": "DANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2017-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OR",
            "license": "MD157343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Karly Everson, PA-C
• Jacklyn Ewald, LPC
• Eyedeology, Inc
• Ralph Ezagui, D.C.
• Jason Nathaniel Faber
• Family Foot Clinic LLC
• Susan Ann Farah, LMT
• David B Farley, M.D.
• James A Farley, MD
• Farnaz Dana Fakhari, MD, PC

• Dermatology Physician in West Linn, OR
• Providers in West Linn, OR by specialty
• Dermatology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.