Individual provider Active NPI

Faranak Pourghasemi

  • Foot & Ankle Surgery Podiatrist
  • Los Gatos, CA
National Provider Identifier
1598739120
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4658 Issued in CA
Practice address
14981 National Ave Ste 2
Los Gatos, CA 95032-2600
Phone
(408) 884-5851
Fax
(408) 884-1503
NPI assigned
Feb 13, 2006
Last updated
Jul 13, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E4658 CA Primary

Addresses

Primary practice location

14981 National Ave Ste 2
Los Gatos, CA 95032-2600

Mailing address

18817 Martha Ave
Saratoga, CA 95070-4641
Phone (510) 432-8864

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: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070131000317 CA Practitioner - Podiatry 8820099005 Practice locations: Los Gatos, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14981 National Ave
Los Gatos, CA 95032-2600
Phone (408) 884-5851

Ste
2 14981 National Ave
Los Gatos, CA 95032

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue248
Removal of skin lesions12
Removal of nail tissue1377
Removal or shaving of skin growth186

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4658CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
National Foot and Ankle Center Professional Corporation Foot & Ankle Surgery CurrentSince Oct 9, 2006 Accepting new patients

Locations

14981 National Ave
Ste 2
Los Gatos, CA 95032
Phone (408) 872-6900

Interoperability endpoints

  • Direct secure messaging: fpourghasemi125954@santaclaravalley.direct-ci.net

Organizations & group practices 2

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1598739120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18817 MARTHA AVE",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950704641",
            "telephone_number": "510-432-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14981 NATIONAL AVE STE 2",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322600",
            "telephone_number": "408-884-5851",
            "fax_number": "408-884-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POURGHASEMI",
        "first_name": "FARANAK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.