Faranak Fahimipour, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

109475 Issued in CA

Practice address

351 Felice Dr
Hollister, CA 95023-3361

Phone

(831) 637-5306

NPI assigned

Sep 27, 2023

Last updated

Sep 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• San Benito Health Foundation

  • Rural Health Clinic/Center
  • Hollister, CA
  • NPI 1295810174
  Medicare reassignment NPD

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1851170096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6347 TAMALPAIS AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951201839",
            "telephone_number": "778-316-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 FELICE DR",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950233361",
            "telephone_number": "831-637-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHIMIPOUR",
        "first_name": "FARANAK",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "109475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree Estrada
• Gonzalo Benavides Estrada Jr., PT
• Miriam Jeanette Estrada
• Paula Estrada, RN
• Angelica Mae Evans, OTR/L
• Allison Fahy, R.N., B.S.N., P.H.N.
• Catherine L Farnham, RN, BSN, PHN
• Marissa Lee Fawwaz
• Ronald Feagan
• Anthony Douglas Fedon

• Dentist in Hollister, CA
• Providers in Hollister, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.

Verify at the official NPI Registry.