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

Last updated

Oct 28, 2014By 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

Dr. Fardis Shahrivar, M.D.NPI 1689779746

Title

President

Phone

(408) 729-4473

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Fardis Shahrivar, MD

  • Pediatrics Physician
  • San Jose, CA
  • NPI 1689779746
  Authorized official Same address or phone

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": []
}

• Yashar Farahvash
• Yassamin Faraj, M.ED., BCBA
• Melina Grace Faraone
• Lauren Farash, M.D., M.P.H.
• 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.