Fardis Shahrivar, M.D. Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A49985 Issued in CA

Legal business name

FARDIS SHAHRIVAR, M.D. INC.

Practice address

200 Jose Figueres Ave Ste 295
San Jose, CA 95116-1590

Phone

(408) 729-4473

NPI assigned

Oct 28, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Fardis Shahrivar, M.D.

Title

President

Phone

(408) 729-4473

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1871998245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE STE 295",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161590",
            "telephone_number": "408-729-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE STE 295",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161590",
            "telephone_number": "408-729-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARDIS SHAHRIVAR, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "SHAHRIVAR",
        "authorized_official_first_name": "FARDIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-729-4473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A49985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yassamin Faraj, M.ED., BCBA
• Melina Grace Faraone
• Lauren Farash, M.D., M.P.H.
• Shanza Faraz
• Jessica Elizabeth Farber, PSY.D.
• Carmen Farhat
• Reem Farhat
• Zelia Faria Costa, MS, MFT
• Sarah Kelly Faria
• Victoria Eden Farias-Jones

• Primary Care Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.