NPIMap

Organization Active NPI

Homayoun a. Saraf

  • Specialist
  • Longview, WA
National Provider Identifier
1467624353
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD00034832 Issued in WA
Legal business name
HOMAYOUN A. SARAF
Practice address
790 14TH Ave
Longview, WA 98632-2315
Phone
(360) 423-2450
Fax
(360) 425-4969
NPI assigned
Mar 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Homayoun Akhavan-Saraf, M.D.NPI 1518906916
Title
M.D/Owner
Phone
(360) 423-2450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD00034832 WA Primary

Addresses

Primary practice location

790 14TH Ave
Longview, WA 98632-2315

Mailing address

790 14TH Ave
Longview, WA 98632-2315
Phone (360) 423-2450

Other identifiers 2

IdentifierTypeStateIssuer
1103548MedicaidWA
AB32954OtherWAMEDICARE GROUP PIN

Other names 1

  • Homayoun A. Saraf, M.D., P.S. Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332720000000",
    "number": "1467624353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 14TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322315",
            "telephone_number": "360-423-2450",
            "fax_number": "360-425-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 14TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322315",
            "telephone_number": "360-423-2450",
            "fax_number": "360-425-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMAYOUN A. SARAF",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2012-03-26",
        "status": "A",
        "authorized_official_last_name": "AKHAVAN-SARAF",
        "authorized_official_first_name": "HOMAYOUN",
        "authorized_official_title_or_position": "M.D/OWNER",
        "authorized_official_telephone_number": "360-423-2450",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00034832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1103548",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "AB32954",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homayoun A. Saraf, M.D., P.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.