Individual provider Active NPI

Afsoon Foorohar, D.O.

  • Family Medicine Physician
  • Santa Rosa, CA
National Provider Identifier
1962897645
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A14940 Issued in CA
Practice address
34 Mark West Springs Rd FL 2
Santa Rosa, CA 95403-1766
Phone
(707) 573-5240
Fax
(707) 573-5411
NPI assigned
Mar 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A14940 CA Primary

Addresses

Primary practice location

34 Mark West Springs Rd FL 2
Santa Rosa, CA 95403-1766

Mailing address

1021 S Elliott PL
Santa Ana, CA 92704-2224
Phone (858) 774-8638

Other practice location 1

1021 S Elliott Pl
Santa Ana, CA 92704-2224
Phone (858) 774-8638

Other identifiers 1

IdentifierTypeStateIssuer
20A14940OtherCASTATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190215002079 CA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 3274871298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Redwood Coast Medical Services, Inc.Group PAC ID 6901941905, 5 clinicians

Practice addresses (Care Compare)

46900 Ocean View Way
Gualala, CA 95445-7548
Phone (707) 884-4005

Hospital & facility affiliations

  • Adventist Health Mendocino Coast Hospital, Fort Bragg, CA, CCN 051325
  • Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
73.31
Promoting interoperability
92
Improvement activities
40
Cost
62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
14940CAMDOptometrist
20A14940CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Redwood Coast Medical Services, Inc. CurrentSince Jan 1, 2019 Accepting new patients
Redwood Coast Medical Services, Inc. CurrentSince Jan 1, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: afsoon.foorohar.p1@direct.rcms-healthcare.nextgenshare.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1962897645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 S ELLIOTT PL",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927042224",
            "telephone_number": "858-774-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MARK WEST SPRINGS RD FL 2",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031766",
            "telephone_number": "707-573-5240",
            "fax_number": "707-573-5411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1021 S Elliott Pl",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927042224",
            "country_code": "US",
            "telephone_number": "858-774-8638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOOROHAR",
        "first_name": "AFSOON",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-31",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A14940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "20A14940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.