Fatema Kermani

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS112403 Issued in CA

Practice address

2480 Mission St Ste 323
San Francisco, CA 94110-2463

Phone

(619) 996-9543

NPI assigned

Jun 26, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Promenade Smiles, LLP

  dba Promenade Smiles

  • General Practice Dentistry
  • Casa Grande, AZ
  • NPI 1437392248
  NPD (past)

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1760168587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47260 ARMATA ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945397800",
            "telephone_number": "502-409-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 MISSION ST STE 323",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102463",
            "telephone_number": "619-996-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERMANI",
        "first_name": "FATEMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS112403",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D011841",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ganga-Swarnapali Monarawila Keppetipola, MD
• Marian Bernadette Kerbleski, RN
• Andrew Dale Kerkhoff
• Robert K. Kerlan, M.D.
• Karla Kerlikowske, M.D.
• Maryam Kermani, M.D
• Joyce Ailson Kermeen, LMFT
• Amy Rochelle Kermott
• Kerner Chiropractic Inc
• Brian Mitchell Kerner, D.C.

• General Practice Dentistry in San Francisco, CA
• Providers in San Francisco, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.