Active NPI
Mojgan Haririfar, NP
- Family Nurse Practitioner
- Palo Alto, CA
National Provider Identifier
1417171885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 10909
- Practice address
- 750 Welch Rd
# 200
Palo Alto, CA 94304 - Phone
- (650) 723-2373
- NPI assigned
- Apr 13, 2007
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 10909 | CA | Primary |
Addresses
Primary practice location
750 Welch Rd
# 200
Palo Alto, CA 94304
Mailing address
1905 Magdalena CR
# 39
Santa Clara, CA 95051
Phone (408) 296-3934
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10909 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1417171885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 MAGDALENA CR",
"address_2": "# 39",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "95051",
"telephone_number": "408-296-3934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 WELCH RD",
"address_2": "# 200",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "94304",
"telephone_number": "650-723-2373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARIRIFAR",
"first_name": "MOJGAN",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "10909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.