Fortani Medical Corp.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

A 82319 Issued in CA

Legal business name

FORTANI MEDICAL CORP.

Practice address

13847 E 14TH St
Suite 216
San Leandro, CA 94578-2632

Phone

(510) 357-3023

NPI assigned

Aug 15, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Maryam Fortani, M.D.

Title

President

Phone

(925) 202-1888

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1841579323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 GULFSTREAM ST",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13847 E 14TH ST",
            "address_2": "SUITE 216",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782632",
            "telephone_number": "510-357-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTANI MEDICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-15",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "FORTANI",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-202-1888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A 82319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiamoya Ford
• Willesha Monique Ford
• Patrick Cory Foreman, B.S.
• Forest Hills Health Group
• Felisia Marie Forest
• Jasmine Darryl Fortuna, DMD
• Megan Foster
• Patrick Robert Foster
• Saiko Nicole Foster
• Diane R Foti, O.T.

• Adult Medicine Physician in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.