Pantea Hashemi, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A132379 Issued in CA

Practice address

650 University Ave Ste 200
Sacramento, CA 95825

Phone

(916) 571-5200

Fax

(916) 571-5099

NPI assigned

Apr 26, 2010

Sex

Female

Sole proprietor

Yes

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Dermatology and Cosmetic Clinic of Northern CaliforniaGroup PAC ID 9032471230, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Medical Dermatology & Cosmetic Clinic of Northern California

  • Dermatology Physician
  • Sacramento, CA
  • NPI 1083120992
  Medicare reassignment Care Compare group NPD Authorized official
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299

  Dermatology

  Medicare reassignment NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Richmond, CA
  • NPI 1235226531

  Dermatology

  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1902123383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 UNIVERSITY AVE STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256726",
            "telephone_number": "916-571-5200",
            "fax_number": "916-571-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 UNIVERSITY AVE STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95825",
            "telephone_number": "916-571-5200",
            "fax_number": "916-571-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASHEMI",
        "first_name": "PANTEA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-26",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A132379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Hasday, MD
• Mehnoor Haseeb, MD
• Trina-Marie Haselrig, PSYD
• Judy Melaie Hash, NP
• Keyvan Hashemi, DDS
• Samira Hashimi
• Kenneth Blane Hashimoto, D.M.D
• Marie Hashitani, MD
• Tiaira Dominique Haskell
• Matthew Edwin Haskins, MD

• Dermatology Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.