NPIMap

Individual provider Active NPI

Narges Shariati Varnosfaderani, M.D.

  • Internal Medicine Physician
  • Auburn, CA
National Provider Identifier
1649256140
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A91411 Issued in CA
Practice address
3111 Professional Dr
Auburn, CA 95603-2456
Phone
(530) 885-5618
Fax
(530) 889-0636
NPI assigned
Dec 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A91411 CA Primary

Addresses

Primary practice location

3111 Professional Dr
Auburn, CA 95603-2456

Mailing address

773 Mikkelsen Dr
Apt #1
Auburn, CA 95603-2001
Phone (530) 886-8483

Other identifiers 1

IdentifierTypeStateIssuer
00A914110MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050711000360 CA Practitioner - Internal Medicine 0840226049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the University of CaliforniaGroup PAC ID 8022922475, 562 clinicians

Practice addresses (Care Compare)

3160 Folsom Blvd
Suite 2500
Sacramento, CA 95816-5267
Phone (916) 734-7777

Hospital & facility affiliations

  • Advanced Home Health, Inc Home health agency, Sacramento, CA, CCN 058426
  • Progressive Home Care - Auburn Home health agency, Auburn, CA, CCN 557482
  • Sutter Auburn Faith Vna & Hospice Home health agency, Auburn, CA, CCN 557292
  • University of California Davis Medical Center Hospital, Sacramento, CA, CCN 050599
  • Sutter Auburn Faith Hospital Hospital, Auburn, CA, CCN 050498
  • Sierra Nevada Memorial Hospital Hospital, Grass Valley, CA, CCN 050150
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A91411CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Aug 1, 2015 Accepting new patients
Regents of the University of California CurrentSince Aug 1, 2015 Accepting new patients
Regents of the University of California Current Accepting new patients
Essent PRMC LP Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

3111 Professional Dr
Auburn, CA 95603
Phone (530) 274-9762

3200 Bell Rd
Auburn, CA 95603
Phone (530) 886-7616

4900 Broadway
Ste 1200
Sacramento, CA 95820
Phone (916) 734-9255

4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761

3160 Folsom Blvd
Ste 2500
Sacramento, CA 95816
Phone (916) 734-5846

500 University Ave
Ste 220
Sacramento, CA 95825
Phone (916) 286-8700

Organizations & group practices 5

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1649256140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "773 MIKKELSEN DR",
            "address_2": "APT #1",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032001",
            "telephone_number": "530-886-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 PROFESSIONAL DR",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032456",
            "telephone_number": "530-885-5618",
            "fax_number": "530-889-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARIATI VARNOSFADERANI",
        "first_name": "NARGES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A91411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A914110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

Verify at the official NPI Registry.