MS. FARZANEH RAOUFI


Address: 19 West 39th Street, San Mateo, CA 94403-4549
Phone: 6505780400

MS. FARZANEH RAOUFI (NPI# 1710106737) 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) 1710106737
Entity Type Individual
Full Name MS. FARZANEH RAOUFI
Credential FNP
Practice Address 19 West 39th Street
San Mateo
CA 94403-4549
Mailing Address 19 W 39th Ave
San Mateo
CA 94403-4593
Practice Telephone 6505780400
Mailing Telephone 6505780400
Enumeration Date 2007-04-25
Last Update Date 2014-08-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
NP13945 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 19 WEST 39TH STREET
City SAN MATEO
State CA
Zip Code 94403-4549

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497130090 Sarah Bailey Nurse Practitioner 225 37th Ave, San Mateo, CA 94403-4324 2015-07-23

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Competitor

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City SAN MATEO
Zip Code 94403

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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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