Fariba Akhavon MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A112198 Issued in CA

Legal business name

FARIBA AKHAVON MD PC

Practice address

316 W Acequia Ave
Visalia, CA 93291-6232

Phone

(559) 688-8880

Fax

(559) 688-8877

NPI assigned

Dec 3, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Fariba Akhavon, M.D.NPI 1750575213

Title

Physician

Phone

(559) 688-8880

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Fariba Akhavon, M.D.

  • Family Medicine Physician
  • Visalia, CA
  • NPI 1750575213
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1598196396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W ACEQUIA AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916232",
            "telephone_number": "559-688-8880",
            "fax_number": "559-688-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W ACEQUIA AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916232",
            "telephone_number": "559-688-8880",
            "fax_number": "559-688-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARIBA AKHAVON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "AKHAVON",
        "authorized_official_first_name": "FARIBA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "559-688-8880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A112198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "A112198",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Jarett Fammatre, D.D.S.
• Armin Farajzadeh Deroee, M.D.
• Fareid Dental Corporation
• Maria Farfan
• Andrea Carolina Farias Gonzalez, DO
• Tori Farris
• Bayode Fashemi, PHARMD
• Suzette Fast
• Audrey Faucett
• Klair Dominique Fayne

• Family Medicine Physician in Visalia, CA
• Providers in Visalia, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.