Active NPI
Farshad Dana, M.D.
- Dermatology Physician
- Eureka, CA
National Provider Identifier
1790855955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A84390
- Practice address
- 2350 Buhne St
Suite B
Eureka, CA 95501-3238 - Phone
- (707) 441-1911
- Fax
- (707) 441-4843
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A84390 | CA | |
| Dermatology Physician | 207N00000X | A84390 | CA | Primary |
Addresses
Primary practice location
2350 Buhne St
Suite B
Eureka, CA 95501-3238
Mailing address
2350 Buhne St
Suite B
Eureka, CA 95501-3238
Phone (707) 441-1911
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | fdana1657605@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634774400000",
"number": "1790855955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 BUHNE ST",
"address_2": "SUITE B",
"city": "EUREKA",
"state": "CA",
"postal_code": "955013238",
"telephone_number": "707-441-1911",
"fax_number": "707-441-4843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 BUHNE ST",
"address_2": "SUITE B",
"city": "EUREKA",
"state": "CA",
"postal_code": "955013238",
"telephone_number": "707-441-1911",
"fax_number": "707-441-4843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANA",
"first_name": "FARSHAD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A84390",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "A84390",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "fdana1657605@oc.providencedirect.org",
"affiliation": "N",
"address_1": "2460 Buhne St",
"city": "Eureka",
"state": "CA",
"country_code": "US",
"postal_code": "955013207",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.