FATEMEH MOMEN HERAVI DDS, PHD, MPH, MS
NPI 1366924649
Dentist - Periodontics in San Francisco, CA

Q: What is Fatemeh Momen Heravi's NPI number?

The NPI number for Fatemeh Momen Heravi is 1366924649. It was assigned to this individual provider in the NPPES registry on September 3, 2018.

Q: What is Fatemeh Momen Heravi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Active since September 03, 2018PECOS Enrolled

707 PARNASSUS AVE, SAN FRANCISCO, CA 94143(415) 476-1731 Get Directions Write a Review

NPPES record last updated: June 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 7, 2025, Sep 3, 2018 (2 updates tracked since 2018).

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About Fatemeh Momen Heravi Dds, Phd, Mph, Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FATEMEH MOMEN HERAVI DDS, PHD, MPH, MS (NPI 1366924649) is an individual periodontics provider in San Francisco, California, licensed in California (107521) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366924649

Entity TypeIndividualFemale

Primary Taxonomy1223P0300X

Provider Legal NameFATEMEH MOMEN HERAVICredential: DDS, PHD, MPH, MS

Location Address707 PARNASSUS AVESan Francisco, CA 94143-2210

Mailing Address707 Parnassus AveSan Francisco, CA 94143-2210

Phone(415) 476-1731

Sole ProprietorNo

Enumeration DateSeptember 3, 2018

Last NPPES UpdateJune 7, 20252 updates tracked since enumeration

NPPES CertifiedJune 7, 2025

✔ NPI 1366924649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in CA · 107521

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

707 PARNASSUS AVE, San Francisco, CA 94143

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fatemeh Momen Heravi Dds, Phd, Mph, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94143 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTORIA HOA TRAN

Student in an Organized Health Care Education/Training Program