FORTANI MEDICAL CORP. (NPI# 1841579323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841579323 |
| Entity Type | Organization |
| Organization Name | FORTANI MEDICAL CORP. |
| Practice Address |
13847 E 14th St Suite 216 San Leandro CA 94578-2632 |
| Mailing Address |
3255 Gulfstream St Pleasanton CA 94588-3525 |
| Practice Telephone | 5103573023 |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2012-03-05 |
| Authorized Official Name | DR. MARYAM FORTANI (PRESIDENT) |
| Authorized Official Telephone | 9252021888 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
A 82319 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
13847 E 14TH ST SUITE 216 |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94578-2632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952307720 | Ravinder K Arora | Internal Medicine | 13847 E 14th St, Suite 217, San Leandro, CA 94578-2632 | 2005-06-24 |
| 1881218923 | Curtis Eugene Penn | Counselor | 13847 E 14th St, San Leandro, CA 94578-2632 | 2020-06-04 |
| 1962024885 | Robyn Miller | Counselor | 13847 E 14th St, San Leandro, CA 94578-2632 | 2020-05-13 |
| 1700359668 | Shireen Farsi | Counselor | 13847 E 14th St, San Leandro, CA 94578-2632 | 2019-01-03 |
| 1366812190 | Lawrence Lyons | Counselor | 13847 E 14th St, San Leandro, CA 94578-2632 | 2015-10-06 |
| 1639549157 | Owen Michael Camarco | Counselor | 13847 E 14th St, San Leandro, CA 94578 | 2015-09-26 |
| 1376961664 | Asian Community Mental Health Board | Community/Behavioral Health | 13847 E 14th St, Suite 116, San Leandro, CA 94578-2632 | 2014-04-03 |
| 1518203728 | Nehal Ghevariya | Internal Medicine | 13847 E 14th St, Ste 115, San Leandro, CA 94578-2632 | 2012-12-14 |
| 1831465814 | Arkady Oreper, Md, A Professional Corporation | Psychiatry & Neurology | 13847 E 14th St, 204, San Leandro, CA 94578-2632 | 2012-03-24 |
| 1801197280 | Bryant Surgical Group PC | Surgery | 13847 E 14th St, Suite #110, San Leandro, CA 94578-2632 | 2010-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952886327 | Keyla Itzel Monroy Rodriguez | Behavioral Analyst | 900 143rd Ave, Apt 269, San Leandro, CA 94578 | 2018-10-01 |
| 1962938340 | Shaylah Rigmaiden | Counselor | 3847 E14th St, #215, San Leandro, CA 94578 | 2017-05-04 |
| 1861864449 | Laurence Tang | Pharmacist | 13847 E. 14th Street, San Leandro, CA 94578 | 2015-10-22 |
| 1902227481 | Marissa Phan | Pharmacist | 15555 E. 14th Street #400, San Leandro, CA 94578 | 2013-12-30 |
| 1629403993 | Carly Renee Lucas | Counselor | 2257 Arlington Dr., San Leandro, CA 94578 | 2013-09-05 |
| 1871933317 | Javier Huerta | Counselor | 16335 E. 14th St, San Leandro, CA 94578 | 2013-06-28 |
| 1710231717 | Farida M Ismail | Non-emergency Medical Transport (VAN) | 1601 165th Ave, 107, San Leandro, CA 94578 | 2012-10-30 |
| 1487901989 | Amanda Dupuis | Counselor | 15942 Footlhill Blvd, San Leandro, CA 94578 | 2012-08-14 |
| 1629323506 | Mei Xiu Chua | Counselor | 13666 East 14th Street, San Leandro, CA 94578 | 2012-07-17 |
| 1730445644 | Nisreen Mesiwala Kothari | Ophthalmology | 15051 Hesperian Blvd Ste A, San Leandro, CA 94578 | 2012-04-04 |
| Find all providers in zip 94578 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538511399 | Karan K Patel | Family Medicine | 2500 Merced St, San Leandro, CA 94577-4201 | 2016-07-05 |
| 1760612816 | Khurram Barolia | Family Medicine | 2500 Merced St, San Leandro, CA 94577-4201 | 2009-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446091 | Candace Maglinao | Family Medicine | 21010 Anza Ave Apt 12, Torrance, CA 90503-4254 | 2020-10-30 |
| 1942826797 | In-home Medical Mobile Services, Inc. | Family Medicine | 3400 E 8th St Ste 202, National City, CA 91950-3169 | 2020-06-17 |
| 1386269306 | Universal Mobile Doctors Inc | Family Medicine | 15333 Sherman Way Ste P, Van Nuys, CA 91406-4204 | 2020-06-16 |
| 1619597671 | Harry Eisenbach | Family Medicine | 9312 Smoketree Ln, Villa Park, CA 92861-1011 | 2020-04-20 |
| 1669092854 | Wellbeing Clinic Inc | Family Medicine | 1621 S New Hampshire Ave, Los Angeles, CA 90006-4513 | 2020-04-17 |
| 1619513611 | Krista Mckinney | Family Medicine | 344o E. La Palma Avenue, Anaheim, CA 92806 | 2019-11-25 |
| 1457995565 | Ucsf Medical Group Business Services | Family Medicine | 1100 Park Pl Ste 100, San Mateo, CA 94403-7119 | 2019-10-31 |
| 1780237313 | Charles Kim Md Inc | Family Medicine | 3055 W Orange Ave Ste 204, Anaheim, CA 92804-3154 | 2019-07-23 |
| 1083277206 | Baum 5 Star Healthcare | Family Medicine | 560 W Grangeville Blvd Ste A, Hanford, CA 93230-2858 | 2019-04-15 |
| 1477025278 | Connexus Family Clinic Inc | Family Medicine | 1930 E. Anaheim Street, N/a, Long Beach, CA 90813-3908 | 2018-12-19 |
| Find all providers with the same taxonomy | ||||
| City | SAN LEANDRO |
| Zip Code | 94578 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.