NEGIN FAZILAT (NPI# 1295203107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295203107 |
| Entity Type | Individual |
| Full Name | NEGIN FAZILAT |
| Other Name | PEARL FAZILAT |
| Credential | NP |
| Practice Address |
1001 Potrero Ave San Francisco CA 94110-3518 |
| Mailing Address |
1245 Portland Ave Los Altos CA 94024-5520 |
| Practice Telephone | 6282068000 |
| Mailing Telephone | 6505578252 |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2019-01-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
95009886 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1245 Portland Avenue, Los Altos, CA 94024 | 6505578252 |
| Street Address |
1001 POTRERO AVE |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94110-3518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598769002 | Neda Ratanawongsa | Internal Medicine | 1001 Potrero Ave, 1m General Medicine Clinic, San Francisco, CA 94110-3518 | 2005-06-13 |
| 1275132151 | Rachel Mei Lin Bishop | Occupational Therapist | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2020-10-21 |
| 1265049340 | Elizabeth Meiselman | Specialist | 1001 Potrero Ave, Main Building 5, 6th Floor, 6m, San Francisco, CA 94110 | 2020-09-23 |
| 1376159269 | Holly Taylor | Dietitian, Registered | 1001 Potrero Ave, San Francisco, CA 94110-3594 | 2020-09-17 |
| 1972116879 | Marissa Ferry | Student in an Organized Health Care Education/Training Program | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2020-08-28 |
| 1043837982 | Abegail M Rabut | Technician/Technologist | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2020-06-26 |
| 1669098448 | Denise Intal Mariano | Spec/Tech, Pathology | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2020-06-17 |
| 1730705500 | Lakshmi Gopalakrishnan | Specialist | 1001 Potrero Ave, Bldg 5, Room 7g19, San Francisco, CA 94110 | 2020-06-17 |
| 1932720828 | Kim Trong Nguyen | Pharmacist | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2020-05-01 |
| 1730700139 | Heather Waldorf | Dietitian, Registered | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2020-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302980 | Deena Marlo Abramson | Doula | 1360 Vermont Street, San Francisco, CA 94110 | 2020-09-23 |
| 1740835131 | Jacob Matz | Orthopaedic Surgery | Orthopaedic Trauma Institute, 2550 23rd St Building 9, 2nd Floor, San Francisco, CA 94110 | 2019-08-03 |
| 1427523083 | John Pier Shaw | Counselor | 1550 Treat Street, San Francisco, CA 94110 | 2018-10-10 |
| 1548743594 | Ana Li | Registered Nurse | 2460 22nd Street, Building 90, Fourth Floor, Ward 94, San Francisco, CA 94110 | 2018-09-14 |
| 1295220283 | Sarah Jane Blevins | Technician, Other | 1061 Valencia Street, Apt A, San Francisco, CA 94110 | 2018-06-22 |
| 1639688823 | Rashid Belkheiri | Community Health Worker | 1001 Potrero Ave Bldg 5 #7m36, San Francisco, CA 94110 | 2017-09-20 |
| 1780107425 | Allison Kimberley Tucker | Orthopaedic Surgery | 2550 23rd St., Bldg. 9, 2nd Floor, Orthopedic Trauma Institute, San Francisco, CA 94110 | 2017-07-25 |
| 1003339300 | April May Moyer | Student in an Organized Health Care Education/Training Program | 1001 Potrero Street 6b, San Francisco, CA 94110 | 2017-07-19 |
| 1154851798 | Anthony Jermaine Hatten | Specialist | 1001 Potrero Ave Rm Ward93, San Francisco, CA 94110 | 2017-06-15 |
| 1770012981 | Cardiogram, Inc. | Physiological Laboratory | 375 Alabama St Ste 350, San Francisco, CA 94110 | 2017-06-09 |
| Find all providers in zip 94110 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366072894 | Ma Isabella Ventura | Nurse Practitioner | 77 Hermann St Apt 24, San Francisco, CA 94102-6220 | 2020-01-23 |
| 1871063321 | Tara Marie O'rourke | Nurse Practitioner | 1825 4th St # M4374, San Francisco, CA 94143-2350 | 2018-11-27 |
| 1972043727 | Eileen Jordan | Nurse Practitioner | 4428 California St, San Francisco, CA 94118-1213 | 2017-02-27 |
| 1528672052 | Sarah Nicole Katz | Nurse Practitioner | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2020-09-02 |
| 1245850247 | Katerina Helmn | Nurse Practitioner | 450 Sutter St Rm 800, San Francisco, CA 94108-3910 | 2020-04-20 |
| 1922579408 | Margaret Link | Nurse Practitioner | 4150 Clement St, San Francisco, CA 94121-1563 | 2018-12-10 |
| 1821564295 | Charles Noyes | Nurse Practitioner | 4150 Clement St, San Francisco, CA 94121-1563 | 2018-10-23 |
| 1033699855 | Nicole Recine | Nurse Practitioner | 501 Folsom St, San Francisco, CA 94105-3174 | 2018-08-21 |
| 1740796952 | Ewana Siu Yee Cheng | Nurse Practitioner | 1545 Divisadero St Fl 2, San Francisco, CA 94143-3400 | 2017-12-26 |
| 1841716610 | Alexandra Stefans | Nurse Practitioner | 240 Shotwell St, San Francisco, CA 94110-1323 | 2017-08-14 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94110 |
Please comment or provide details below to improve the information on NEGIN FAZILAT.
| 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.