FARDIS SHAHRIVAR, M.D. INC.


Address: 200 Jose Figueres Ave Ste 295, San Jose, CA 95116-1590
Phone: 4087294473

FARDIS SHAHRIVAR, M.D. INC. (NPI# 1871998245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871998245
Entity Type Organization
Organization Name FARDIS SHAHRIVAR, M.D. INC.
Practice Address 200 Jose Figueres Ave Ste 295
San Jose
CA 95116-1590
Practice Telephone 4087294473
Mailing Telephone 4087294473
Enumeration Date 2014-10-28
Last Update Date 2014-10-28
Authorized Official Name DR. FARDIS SHAHRIVAR (PRESIDENT)
Authorized Official Telephone 4087294473
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
A49985 CA Ambulatory Health Care Facilities

Office Location

Street Address 200 JOSE FIGUERES AVE STE 295
City SAN JOSE
State CA
Zip Code 95116-1590

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821570102 Lori Chung Cho Dmd Inc. Clinic/Center 150 N Jackson Ave Ste 103, San Jose, CA 95116 2018-09-03
1306333174 Patrick Suezaki Dentist 250 Montclair Ave Ste C, San Jose, CA 95116 2018-04-17
1871016147 Israel Enrique Ruiz Lora Social Worker 1075 East Santa Clara, San Jose, CA 95116 2017-07-19
1275072613 Araceli Yazmin Garcia Case Manager/Care Coordinator 1652 E San Fernando St, San Jose, CA 95116 2017-02-17
1710304712 Natalie K. Huynh D.d.s Inc. Dentist 2340 Mckee Rd #24, San Jose, CA 95116 2014-03-27
1437597747 Ian Ellis Mccoy Internal Medicine 2360 Mckee Rd Ste 10, San Jose, CA 95116 2013-06-08
1588913321 Adrian Fernandez Counselor 1245 East Santa Clara Street, San Jose, CA 95116 2012-09-07
1851678841 Krystal Lani Subia Counselor 101 Jose Figueres Avenue, San Jose, CA 95116 2011-11-04
1255668224 Sophia O.j.m. Dijkstra Physical Therapist 180 N. Jackson Ave, San Jose, CA 95116 2009-11-11
1255562096 Jovan De Guzman Sedilla Physical Therapy Assistant 180 N. Jackson Ave., San Jose, CA 95116 2009-07-28
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1740793090 Juan C Carrillo Md A Professional Corporation Clinic/Center 2880 Story Rd Fl 2, San Jose, CA 95127-3942 2017-11-08
1740670090 Nayyara Dawood M.d. Pediatrics Corp. Clinic/Center 275, O'connor Drive, Suite C, San Jose, CA 95128-1657 2015-01-26
1316358260 El Dorado Community Service Ecnter Clinic/Center 804-808 Julian St, San Jose, CA 95113 2014-05-14
1235575333 Thang Duc Tran, Md Clinic/Center 1569 Lexann Ave Ste 114, San Jose, CA 95121-1794 2013-05-15
1154588515 Abellera Medical Group, Inc. Clinic/Center 2350 Mckee Rd Ste 1, San Jose, CA 95116-1617 2008-05-21
1346427986 County of Santa Clara Clinic/Center 750 S. Bascom Ave, San Jose, CA 95128-2603 2008-01-25
1295858579 Jorge V. Contreras, M.d., Apc Clinic/Center 841 Blossom Hill Rd Ste 215, San Jose, CA 95123-2704 2007-04-09
1497855696 County of Santa Clara Clinic/Center 2100 Little Orchard, Vhc At Emergency Housing Consortium, San Jose, CA 95125-2604 2006-09-25
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Competitor

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City SAN JOSE
Zip Code 95116

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Dataset Information

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.

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