Individual provider Active NPI

Faranak Hooman

  • Marriage & Family Therapist
  • San Jose, CA
National Provider Identifier
1487039541
Registry record updated Dec 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
86519 Issued in CA
Practice address
2400 Moorpark Ave # S300
San Jose, CA 95128-2631
Phone
(408) 975-2730
Fax
(408) 975-2745
NPI assigned
Jul 29, 2015
Last updated
Dec 22, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Marriage & Family Therapist 106H00000X 86519 CA Primary

Addresses

Primary practice location

2400 Moorpark Ave # S300
San Jose, CA 95128-2631

Mailing address

2400 Moorpark Ave # S300
San Jose, CA 95128-2631
Phone (408) 975-2730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240524002804 CA Practitioner - Marriage and Family Therapist 5496197238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

2400 Moorpark Ave
Suite 300
San Jose, CA 95128-2680
Phone (408) 975-2763

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86519CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Asian Americans for Community Involvement of Santa Clara County, Inc CurrentSince Mar 6, 2024 Accepting new patients
Asian Americans for Community Involvement of Santa Clara County, Inc CurrentSince Mar 6, 2024 Accepting new patients
Asian Americans for Community Involvement of Santa Clara County, Inc Case Manager/Care Coordinator Current Accepting new patients

Locations

749 Story Rd
Ste 50
San Jose, CA 95122

2400 Moorpark Ave
Ste 300
San Jose, CA 95128
Phone (408) 975-2763

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513900800000",
    "number": "1487039541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 MOORPARK AVE # S300",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282631",
            "telephone_number": "408-975-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MOORPARK AVE # S300",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282631",
            "telephone_number": "408-975-2730",
            "fax_number": "408-975-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOMAN",
        "first_name": "FARANAK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2017-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "86519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.