Fallon Nassiem Agahi

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

4080 Cavitt Stallman Rd Ste 100a
Granite Bay, CA 95746-9049

Phone

(916) 771-0715

NPI assigned

Jul 6, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Fallon Nassiem Agahi Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of California, Davis School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orisek and McCaskill Medical Group, Inc.Group PAC ID 7012457724, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: flopez@directaddress.net

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

• Orisek and McCaskill Medical Group, Inc.

  • Dermatology Physician
  • Granite Bay, CA
  • NPI 1336873546
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1538456090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 CAVITT STALLMAN RD STE 100A",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957469049",
            "telephone_number": "916-771-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 CAVITT STALLMAN RD STE 100A",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957469049",
            "telephone_number": "916-771-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGAHI",
        "first_name": "FALLON",
        "middle_name": "NASSIEM",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FALLON",
            "last_name": "AGAHI",
            "middle_name": "NASSIEM",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alyssa Abaco
• Lina Abu Samaha
• Amir Abu-Samaha
• Acc United LLC
• Affinity Health Solutions Inc
• Rachel Aguirre
• Raefa Alaffas
• Shafeen Ali
• Emily R Allen
• Tonya Allen

• Physician Assistant in Granite Bay, CA
• Providers in Granite Bay, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.