Organization Active NPI

Pantea Pahlavan, MD

Doing business as Green Valley Women's Health

  • Medical Specialty Clinic/Center
  • Fairfield, CA
National Provider Identifier
1629827084
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
PANTEA PAHLAVAN, MD
Doing business as
Green Valley Women's Health
Practice address
5140 Business Center Dr Ste 13
Fairfield, CA 94534-1793
Phone
(707) 736-6900
Fax
(707) 931-4755
NPI assigned
May 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Dr. Pantea Pahlavan, MDNPI 1427021583
Title
Owner
Phone
(510) 325-9805

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

5140 Business Center Dr Ste 13
Fairfield, CA 94534-1793

Mailing address

5140 Business Center Dr Ste 103
Fairfield, CA 94534-1794
Phone (510) 325-9805

Other practice location 1

4612 Orchestra Pl
Fairfield, CA 94534-4118
Phone (510) 325-9805

Other names 1

  • Green Valley Women's Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241122003335 CA Part B Supplier - Clinic/Group Practice 3274068564 Receives reassigned benefits from 1 practitioner
Practice locations: Fairfield, CA

National Provider Directory

National Provider Directory

Locations

5140 Business Center Dr
Ste 103
Fairfield, CA 94534
Phone (707) 736-6900

5140 Business Center Dr
Ste 13
Fairfield, CA 94534
Phone (707) 736-6900

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1629827084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 BUSINESS CENTER DR STE 103",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341794",
            "telephone_number": "510-325-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 BUSINESS CENTER DR STE 13",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341793",
            "telephone_number": "707-736-6900",
            "fax_number": "707-931-4755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4612 Orchestra Pl",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945344118",
            "country_code": "US",
            "telephone_number": "510-325-9805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PANTEA PAHLAVAN, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-16",
        "last_updated": "2025-09-02",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "PAHLAVAN",
        "authorized_official_first_name": "PANTEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-325-9805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Valley Women's Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.