Fatemeh Mahtab Fardanesh-nikoo, MA is a
Community Health Worker based in San Francisco, California. Fatemeh Mahtab Fardanesh-nikoo is licensed to practice in * (Not Available) (license number ) and her current practice location is
250 Executive Park Blvd Ste 4900, San Francisco, California. She can be reached at her office (for appointments etc.) via phone at
(415) 314-2907.
NPI number for Fatemeh Mahtab Fardanesh-nikoo is 1437204047 and her current mailing address is 250 Executive Park Blvd Ste 4900, San Francisco, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437204047.
Healthcare Provider's Profile
Full Name | Fatemeh Mahtab Fardanesh-nikoo |
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Gender | Female |
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Speciality | Community Health Worker |
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Location | 250 Executive Park Blvd Ste 4900, San Francisco, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1437204047
- Provider Enumeration Date: 01/24/2007
- Last Update Date: 06/08/2023
Medical Identifiers
Medical identifiers for Fatemeh Mahtab Fardanesh-nikoo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437204047 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (California) | Secondary |
172V00000X | Community Health Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fatemeh Mahtab Fardanesh-nikoo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Fatemeh Mahtab Fardanesh-nikoo, MA 250 Executive Park Blvd Ste 4900, San Francisco, CA 94134-3335 Ph: (415) 341-2907 | Fatemeh Mahtab Fardanesh-nikoo, MA 250 Executive Park Blvd Ste 4900, San Francisco, CA 94134-3335 Ph: (415) 314-2907 |
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