Active NPI
Fay Fereshteh Niazi, D.O.
- Optometrist
- Hayward, CA
National Provider Identifier
1467458166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4686-T
- Practice address
- 21297 Foothill Blvd
Ste 101
Hayward, CA 94541-1554 - Phone
- (510) 537-5069
- Fax
- (510) 537-1117
- NPI assigned
- Jun 27, 2005
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4686-T | CA | Primary |
Addresses
Primary practice location
21297 Foothill Blvd
Ste 101
Hayward, CA 94541-1554
Mailing address
21297 Foothill Blvd
Ste 101
Hayward, CA 94541-1554
Phone (510) 537-7506
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4686-T | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510185600000",
"number": "1467458166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21297 FOOTHILL BLVD",
"address_2": "STE 101",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945411554",
"telephone_number": "510-537-7506",
"fax_number": "510-537-1117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21297 FOOTHILL BLVD",
"address_2": "STE 101",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945411554",
"telephone_number": "510-537-5069",
"fax_number": "510-537-1117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIAZI",
"first_name": "FAY",
"middle_name": "FERESHTEH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-27",
"last_updated": "2017-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "4686-T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.