MORTEZA MOOSAVI FARR (NPI# 1023066891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023066891 |
| Entity Type | Individual |
| Full Name | MORTEZA MOOSAVI FARR |
| Credential | D.O. |
| Practice Address |
125 N Jackson Ave # 101 San Jose CA 95116-1914 |
| Practice Telephone | 4082586565 |
| Practice Fax Number | 4082581220 |
| Mailing Telephone | 4082586565 |
| Mailing Fax Number | 4082581220 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2013-04-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 020A80782 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00AX80780 | 05 |
| Street Address |
125 N JACKSON AVE # 101 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95116-1914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215910609 | Kirk Charles Zobac | Physical Therapist | 125 N Jackson Ave, #104, San Jose, CA 95116-1903 | 2005-11-21 |
| 1740696244 | Xining Fu | Acupuncturist | 125 N Jackson Ave, Suite 210, San Jose, CA 95116-1903 | 2014-07-03 |
| 1770823866 | Emily Johannah Peters-limbeck | Nurse Practitioner | 125 N Jackson Ave, San Jose, CA 95116-1903 | 2013-02-26 |
| 1013282102 | Hector S Cerezo Md Inc | Clinic/Center | 125 N Jackson Ave, Suite 110, San Jose, CA 95116-1903 | 2012-03-21 |
| 1093083651 | Marietta Abalos-galito, Md Inc | Internal Medicine | 125 N Jackson Ave, Suite Number 107, San Jose, CA 95116-1903 | 2011-12-09 |
| 1003198326 | Arline G Guinto Macaraeg | Dentist | 125 N Jackson Ave, Suite 207, San Jose, CA 95116-1903 | 2011-09-13 |
| 1518173608 | Reena K Ranpuria | Internal Medicine | 125 N Jackson Ave, Suite 109, San Jose, CA 95116-1903 | 2007-05-15 |
| 1437277092 | Marietta Florence Abalos-galito | Internal Medicine | 125 N Jackson Ave, Suite 107, San Jose, CA 95116-1903 | 2007-03-26 |
| 1295851467 | Anthony S. Alvarado, M.d., Inc. | Orthopaedic Surgery | 125 N Jackson Ave, Suite # 101, San Jose, CA 95116-1903 | 2007-03-21 |
| 1831233782 | Thomas Gallardo | Chiropractor | 125 N Jackson Ave, Suite 107, San Jose, CA 95116-1903 | 2007-02-16 |
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| 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 Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467746024 | Stephanie Marie Gancarczyk | Orthopaedic Surgery | 260 International Cir Bldg 4, San Jose, CA 95119-1130 | 2011-06-01 |
| 1033425350 | Dr Morteza Farr Do Inc | Orthopaedic Surgery | 125 N Jackson Ave Ste 101, San Jose, CA 95116-1914 | 2010-08-24 |
| 1104131739 | Barry Jay Miller | Orthopaedic Surgery | 1284 Montmorency Dr, San Jose, CA 95118-2037 | 2010-08-06 |
| 1144431941 | Mark Sajjadi | Orthopaedic Surgery | 93 N 14th St, Suite 3, San Jose, CA 95112 | 2007-05-24 |
| 1023227733 | Charissa Farris | Orthopaedic Surgery | 2516 Samaritan Dr Ste B, San Jose, CA 95124-4108 | 2007-05-21 |
| 1144244682 | Edward Damore | Orthopaedic Surgery | 2430 Samaritan Drive, San Jose, CA 95124 | 2006-07-27 |
| 1669407342 | William Walter Wall | Orthopaedic Surgery | 2120 Forest Ave, San Jose, CA 95128-1478 | 2006-07-11 |
| 1063478105 | William Robert Stearns | Orthopaedic Surgery | 123 Di Salvo Ave, Suite E, San Jose, CA 95128-1717 | 2006-04-26 |
| 1295187060 | Pamela Mehta Md Inc | Orthopaedic Surgery | 2242 Camden Ave, Suite 104, San Jose, CA 95124-2029 | 2016-07-06 |
| 1225465388 | Orthokristy Bone and Jointcenter Inc | Orthopaedic Surgery | 2516 Samaritan Dr, Suite B, San Jose, CA 95124-4108 | 2013-10-03 |
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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.