Keiko Sato Fakhraie, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

005309 Issued in AZ

Practice address

2501 N Stockton Hill Rd Ste 108
Kingman, AZ 86401-4140

Phone

(928) 255-5050

Fax

(888) 571-5897

NPI assigned

Jun 26, 2007

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 AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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 and National Provider Directory roles.

• Prescott Healthcare Solutions LLC

  • Family Medicine Physician
  • Prescott, AZ
  • NPI 1821454505
  Medicare reassignment NPD
• Raghav LLC

  • Multi-Specialty Clinic/Center
  • Surprise, AZ
  • NPI 1598125791
  Medicare reassignment NPD

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1891991642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12361 W BOLA DR STE 109",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789021",
            "telephone_number": "623-227-1000",
            "fax_number": "623-227-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N STOCKTON HILL RD STE 108",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014140",
            "telephone_number": "928-255-5050",
            "fax_number": "888-571-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAKHRAIE",
        "first_name": "KEIKO",
        "middle_name": "SATO",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "005309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Berenice Jeacel Espinoza, FNP, RN
• Patricia Rae Evans, M.D.
• Exceptional Employment Services L.L.C.
• Exclusive Certified Residential Care, LLC
• Ashley Marie Eyer
• Family Dentistry by Design
• Amir Farid, MD
• Rauchel Chelan Farris
• Fastrax Urgent Care
• Fearless Journey Counseling & Consulting PLLC

• Family Medicine Physician in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.