ASEFEH FARAZ (NPI# 1447402516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447402516 |
| Entity Type | Individual |
| Full Name | ASEFEH FARAZ |
| Credential | NP |
| Practice Address |
17095 Main St Hesperia CA 92345-6004 |
| Practice Telephone | (760) 956-4123 |
| Practice Fax Number | 7609484616 |
| Mailing Telephone | (760) 956-4123 |
| Mailing Fax Number | 7609484616 |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NP95007020 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | AP60052882 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
4520 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024172238 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4111 194th St Sw, Lynnwood, WA 980364604 | 4258355200 | 4258355201 |
| Street Address |
17095 MAIN ST |
| City | HESPERIA |
| State | CA |
| Zip Code | 92345-6004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376543785 | Ziad R El-hajjaoui | Internal Medicine | 17095 Main St, Hesperia, CA 92345-6004 | 2005-07-28 |
| 1992210660 | Alice Wang | Physician Assistant | 17095 Main St, Hesperia, CA 92345-6004 | 2017-12-04 |
| 1467985259 | Anastacia Legaspi Rodriguez | Internal Medicine | 17095 Main St, Hesperia, CA 92345-6004 | 2017-04-07 |
| 1215323522 | Wajidah Abdul-khabir | Hospitalist | 17095 Main St, Hesperia, CA 92345-6004 | 2015-04-13 |
| 1508113135 | High Desert Primary Care | Internal Medicine | 17095 Main St, Hesperia, CA 92345-6004 | 2012-08-14 |
| 1194000778 | Kathryn E Stewart | Physician Assistant | 17095 Main St, Hesperia, CA 92345-6004 | 2011-10-14 |
| 1629397914 | Eki S.e. Abrams | Internal Medicine | 17095 Main St, Hesperia, CA 92345-6004 | 2010-05-26 |
| 1588828537 | Malini Kethireddy | Family Medicine | 17095 Main St, Hesperia, CA 92345-6004 | 2008-07-17 |
| 1750543427 | James Christiansen | Physical Therapist | 17095 Main St, Hesperia, CA 92345-6004 | 2008-06-25 |
| 1881883064 | Angela Kwafoa Mimi Amoani | Physician Assistant | 17095 Main St, Hesperia, CA 92345-6004 | 2007-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649881467 | Leslie Guzman | Behavioral Analyst | 6700 Newhall Ave, Hesperia, CA 92345 | 2020-08-14 |
| 1134769896 | Nu Wave Medical Group Inc | Family Medicine | 9390 Hesperia Rd Suite 7, Hesperia, CA 92345 | 2020-01-10 |
| 1760901383 | Lindsey Kathleen Dunnagan | Counselor | 16501 Walnut Street, Suite 12, Hesperia, CA 92345 | 2017-09-14 |
| 1356869374 | Deborah Irene Freeman | Nurse Practitioner | 15398 Main Street Suite A, Hesperia, CA 92345 | 2017-08-30 |
| 1902260151 | Serge Bronstein | Counselor | 16808 Main St., D-154, Hesperia, CA 92345 | 2016-04-13 |
| 1366815805 | Caremore Health Plan | Nurse Practitioner | 17085 Main Street, Hesperia, CA 92345 | 2015-11-05 |
| 1174928402 | Jennifer Cathrin Bayle | Counselor | 17130 Sequoia St, Suite 106, Hesperia, CA 92345 | 2014-10-29 |
| 1447654256 | Diana Grace Chilstrom | Marriage & Family Therapist | 11776 Mariposa Road, Hesperia, CA 92345 | 2014-10-22 |
| 1639597545 | Adrianna Ebony Williams | Physical Therapy Assistant | 8939 11th Ave, Hesperia, CA 92345 | 2014-03-29 |
| 1477974426 | Aja Stoll | Case Manager/Care Coordinator | 9655 Ninth Ave, Hesperia, CA 92345 | 2013-12-18 |
| Find all providers in zip 92345 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043442049 | Linnea Desiree Marchand | Nurse Practitioner | 12821 Main St Ste 140, Hesperia, CA 92345-9127 | 2009-08-10 |
| 1043220809 | Mollie T Hudson | Nurse Practitioner | 78 N Division St, Hesperia, MI 49421-5100 | 2006-08-08 |
| 1124074927 | Richard D. Norton | Nurse Practitioner | 16455 Main St Ste 1, Hesperia, CA 92345-3500 | 2006-05-25 |
| 1629576244 | Kenneth Herrick | Nurse Practitioner | 17043 Main St, Hesperia, CA 92345-6055 | 2018-01-29 |
| 1891200614 | Clarissa Amezquita | Nurse Practitioner | 15398 Main St Ste A, Hesperia, CA 92345-3391 | 2017-12-04 |
| 1316493406 | Sandra Limon | Nurse Practitioner | 12021 Jacaranda Ave Ste 101, Hesperia, CA 92345-4978 | 2016-08-29 |
| 1164891289 | Tanya Antonieta Benitez | Nurse Practitioner | 12021 Jacaranda Ave, Suite 101, Hesperia, CA 92345-4978 | 2015-09-18 |
| 1588091169 | Inland Psychiatric Medical Group, Inc. | Nurse Practitioner | 16279 Walnut St, Hesperia, CA 92345-3622 | 2013-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528817 | Gemekia Latrisha Morales | Nurse Practitioner | 1800 N. California, Stockton, CA 95952 | 2020-11-08 |
| 1447851324 | Anna Patricia Torres | Nurse Practitioner | 1158 Santa Lucia Dr, Pittsburg, CA 94565-7615 | 2020-11-05 |
| 1447851647 | Melanie Ganotisi | Nurse Practitioner | 11541 Blucher Ave Unit 125, Granada Hills, CA 91344-4362 | 2020-11-04 |
| 1659971729 | Raquel Y Mccarthy | Nurse Practitioner | 334 Via Vera Cruz Ste 257, San Marcos, CA 92078-2643 | 2020-10-28 |
| 1689274607 | Aleksandra Zaitseva | Nurse Practitioner | 6850 Sepulveda Blvd Ste 215, Van Nuys, CA 91405-4450 | 2020-10-28 |
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1861092355 | Vilma Estrada | Nurse Practitioner | 37945 28th St E, Palmdale, CA 93550-5521 | 2020-10-26 |
| 1871192492 | Folashade Jayeoba | Nurse Practitioner | 7453 Tucson Ln, Fontana, CA 92336-0712 | 2020-10-23 |
| 1467051391 | Careforyou LLC | Nurse Practitioner | 806 14th St, Modesto, CA 95354-1023 | 2020-10-21 |
| 1427657550 | Adriana Sarah Pettross | Nurse Practitioner | 35286 Vista De Todo, Capistrano Beach, CA 92624-1847 | 2020-10-20 |
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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.