Daftarian Family Practice P a

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DAFTARIAN FAMILY PRACTICE P A

Practice address

2710 Osler Blvd
Bryan, TX 77802-2517

Phone

(979) 776-2277

NPI assigned

May 26, 2006

Last updated

Mar 29, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Arezu DaftarianNPI 1881659589

Title

President

Phone

(979) 776-2277

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• College Station Imaging Center

  dba Advanced Diagnostic Imaging

  • Diagnostic Radiology Physician
  • College Station, TX
  • NPI 1316057664

  Member Of

  NPD member

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Arezu Daftarian, M.D.

  • Family Medicine Physician
  • Bryan, TX
  • NPI 1881659589
  Medicare reassignment NPD Authorized official
• Cheesta Daftarian, D.D.S.

  • General Practice Dentistry
  • Bryan, TX
  • NPI 1497819148
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1841246220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 OSLER BLVD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022517",
            "telephone_number": "979-776-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 OSLER BLVD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022517",
            "telephone_number": "979-776-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAFTARIAN FAMILY PRACTICE P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "DAFTARIAN",
        "authorized_official_first_name": "AREZU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-776-2277"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CVS Pharmacy Inc (CVS Pharmacy #06590)
• CVS Pharmacy Inc. (CVS Pharmacy #)
• Cynthia Shannon, LMFT, PLLC
• D & a Counseling
• Nanette Reyes Dacumos, MD
• Ali Daftarian, M.D.
• Arezu Daftarian, M.D.
• Cheesta Daftarian, D.D.S.
• Sarah Elizabeth Dailey, RN
• Shakaria Jelynne Daily

• Family Medicine Physician in Bryan, TX
• Providers in Bryan, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.