Individual provider Active NPI

Lobat Daneshvar-Jahromi

  • Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1841676889
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95002687 Issued in CA
Practice address
87 E Olive Ave
Fresno, CA 93728-3059
Phone
(559) 499-1233
NPI assigned
Jul 31, 2015
Last updated
Jul 31, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95002687 CA Primary

Addresses

Primary practice location

87 E Olive Ave
Fresno, CA 93728-3059

Mailing address

87 E Olive Ave
Fresno, CA 93728-3059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160112001492 CA Practitioner - Nurse Practitioner 7113229840 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Term Care Medical Group, IncGroup PAC ID 9032016068, 37 clinicians

Practice addresses (Care Compare)

925 N Cornelia Ave
Fresno, CA 93706-1031
Phone (559) 275-4785

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95002687CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Long Term Care Medical Group, Inc CurrentSince Nov 30, 2015 Accepting new patients
Sharmel Kasten DO PC CurrentSince Feb 21, 2017 Accepting new patients

Locations

2139 Shaw Ave
Ste E6
Clovis, CA 93611
Phone (559) 326-8423

685 W Alluvial Ave
Ste 103
Fresno, CA 93711
Phone (559) 791-8410

925 N Cornelia Ave
Fresno, CA 93706
Phone (559) 275-4785

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438300800000",
    "number": "1841676889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 E OLIVE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937283059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 E OLIVE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937283059",
            "telephone_number": "559-499-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANESHVAR-JAHROMI",
        "first_name": "LOBAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-31",
        "last_updated": "2015-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95002687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.