Active NPI
Afsoon Foorohar, D.O.
- Family Medicine Physician
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A14940
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20A14940 | Other | CA | STATE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190215002079 | CA | Practitioner - Family Practice | 3274871298 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Redwood Coast Medical Services, Inc.
Practice addresses (Care Compare)
46900 Ocean View Way
Gualala, CA 95445-7548
Phone (707) 884-4005
Hospital & facility affiliations
- Adventist Health Mendocino Coast
- Providence Santa Rosa Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.98 of 100
- Quality
- 73.31
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 62
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14940 | CA | MD | Optometrist |
| 20A14940 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redwood Coast Medical Services, Inc. | Current | Accepting new patients | |
| Redwood Coast Medical Services, Inc. | Current | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Federally Qualified Health Center (FQHC)
- Gualala, CA
- NPI 1962530725
CA
-
- Community Health Clinic/Center
- Point Arena, CA
- NPI 1275778847
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.