Individual provider Active NPI

Fatemeh Shirin Ghaheri, M.D.

  • Child & Adolescent Psychiatry Physician
  • Sacramento, CA
National Provider Identifier
1982714143
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
A67184 Issued in CA
Practice address
3671 Business Drive, Suite #100
Caare Diagnostic & Treatment Center
Sacramento, CA 95820-2165
Phone
(916) 734-8399
Fax
(916) 734-5644
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X A67184 CA Primary

Addresses

Primary practice location

3671 Business Drive, Suite #100
Caare Diagnostic & Treatment Center
Sacramento, CA 95820-2165

Mailing address

3671 Business Drive, Suite #100
Caare Diagnostic & Treatment Center
Sacramento, CA 95820-2165
Phone (916) 734-8399

Other identifiers 1

IdentifierTypeStateIssuer
2888MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A67184CAMDChild & Adolescent Psychiatry Physician
67184CAMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: fatemeh.ghaheri.p1@direct.tpcp.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1982714143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3671 BUSINESS DRIVE, SUITE #100",
            "address_2": "CAARE DIAGNOSTIC & TREATMENT CENTER",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958202165",
            "telephone_number": "916-734-8399",
            "fax_number": "916-734-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3671 BUSINESS DRIVE, SUITE #100",
            "address_2": "CAARE DIAGNOSTIC & TREATMENT CENTER",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958202165",
            "telephone_number": "916-734-8399",
            "fax_number": "916-734-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAHERI",
        "first_name": "FATEMEH",
        "middle_name": "SHIRIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A67184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2888",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.