Active NPI
Khashayar Ghazanfari
- Perfusionist
- San Jose, CA
National Provider Identifier
1457062531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Perfusionist
- Practice address
- 2105 Forest Ave
San Jose, CA 95128-1471 - Phone
- (408) 947-2500
- NPI assigned
- Dec 8, 2022
- Last updated
- Dec 8, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Perfusionist | 242T00000X | NU | Primary |
Addresses
Primary practice location
2105 Forest Ave
San Jose, CA 95128-1471
Mailing address
4030 E Morada LN Apt 4205
Stockton, CA 95212-1641
Phone (209) 409-2619
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670457600000",
"number": "1457062531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4030 E MORADA LN APT 4205",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952121641",
"telephone_number": "209-409-2619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 FOREST AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951281471",
"telephone_number": "408-947-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHAZANFARI",
"first_name": "KHASHAYAR",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-08",
"last_updated": "2022-12-08",
"certification_date": "2022-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "242T00000X",
"taxonomy_group": "",
"desc": "Perfusionist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.