Fariba Lessani, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12041 Issued in CA

Practice address

3130 Alpine Rd
Suite 220
Portola Valley, CA 94028-7549

Phone

(650) 391-9180

NPI assigned

Jan 12, 2007

Last updated

Mar 22, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2025 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1568512184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1762 HERON AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940874812",
            "telephone_number": "408-425-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 ALPINE RD",
            "address_2": "SUITE 220",
            "city": "PORTOLA VALLEY",
            "state": "CA",
            "postal_code": "940287549",
            "telephone_number": "650-391-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESSANI",
        "first_name": "FARIBA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Therese Kearney, MA
• Kerry Dean Kravitz, M.D.
• Krista Regedanz, PHD, a Psychological Organization (Palo Alto Smart Therapy)
• Richard Horton Laude, M.D.
• Jamie Leach, D.D.S.
• Jia Rebecca Li, LMFT
• Meredith Lierk
• Lisa Green Physical Therapy, PC
• Rebecca Long
• Joann Marie Loulan, M.A.

• Optometrist in Portola Valley, CA
• Providers in Portola Valley, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.