E. Isaac Faraji MD a Professional Corporation

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

E. ISAAC FARAJI MD A PROFESSIONAL CORPORATION

Practice address

1729 N. Olive Ave
Suite 11
Turlock, CA 95382

Phone

(209) 667-0543

Fax

(209) 667-0613

NPI assigned

Sep 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Eshagh Isaac Faraji, MDNPI 1912000811

Title

Ceo

Phone

(209) 667-0543

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Eshagh Isaac Faraji, MD

  • Gastroenterology Physician
  • Turlock, CA
  • NPI 1912000811
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902909807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3166",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953813166",
            "telephone_number": "209-667-0543",
            "fax_number": "209-667-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 N. OLIVE AVE",
            "address_2": "SUITE 11",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "95382",
            "telephone_number": "209-667-0543",
            "fax_number": "209-667-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. ISAAC FARAJI MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FARAJI",
        "authorized_official_first_name": "ESHAGH",
        "authorized_official_middle_name": "ISAAC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-667-0543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lawana Kaye Earl, NP
• Denise Echevarria
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• James L Eggleston, DDS
• Ramoeil Eilyazadeh Moushabad, PHARMD

• Gastroenterology Physician in Turlock, CA
• Providers in Turlock, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.