Active NPI
Lamorinda ENT Face & Neck Surgery Inc
- Otolaryngology Physician
- Lafayette, CA
National Provider Identifier
1992985923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- A85934
- 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 INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sassan Falsafi, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 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
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.
-
- Otolaryngology Physician
- Lafayette, CA
- NPI 1306956362
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.