Organization Active NPI

Lamorinda ENT Face & Neck Surgery Inc

  • Otolaryngology Physician
  • Lafayette, CA
National Provider Identifier
1992985923
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A85934 Issued in CA
Legal business name
LAMORINDA ENT FACE & NECK SURGERY INC
Practice address
911 Moraga Road
Suite 102
Lafayette, CA 94549-4591
Phone
(925) 299-9919
Fax
(925) 299-9924
NPI assigned
Nov 7, 2007
Organization subpart
Yes
Parent organization
LAMORINDA ENT FACE & NECK SURGERY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Authorized official

Name
Dr. Sassan Falsafi, MDNPI 1306956362
Title
Otolaryngologist
Phone
(925) 299-9919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X A85934 CA Primary

Addresses

Primary practice location

911 Moraga Road
Suite 102
Lafayette, CA 94549-4591

Mailing address

911 Moraga Road
Suite 102
Lafayette, CA 94549
Phone (925) 299-9919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080514000788 CA Part B Supplier - Clinic/Group Practice 6608945878 Receives reassigned benefits from 1 practitioner
Practice locations: Lafayette, CA

National Provider Directory

National Provider Directory
Part of
Lamorinda ENT Face Neck Surgery Inc

Locations

911 Moraga Rd
Ste 102
Lafayette, CA 94549
Phone (925) 284-0433

425 Estudillo Ave
Ste B
San Leandro, CA 94577
Phone (510) 969-8510

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1992985923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 MORAGA ROAD",
            "address_2": "SUITE 102",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "94549",
            "telephone_number": "925-299-9919",
            "fax_number": "925-299-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 MORAGA ROAD",
            "address_2": "SUITE 102",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494591",
            "telephone_number": "925-299-9919",
            "fax_number": "925-299-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMORINDA ENT FACE & NECK SURGERY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAMORINDA ENT FACE & NECK SURGERY INC",
        "enumeration_date": "2007-11-07",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "FALSAFI",
        "authorized_official_first_name": "SASSAN",
        "authorized_official_title_or_position": "OTOLARYNGOLOGIST",
        "authorized_official_telephone_number": "925-299-9919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A85934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.