AMARA FAYYAZ
NPI 1407795412
Student in an Organized Health Care Education/Training Program in Modesto, CA

Active since March 26, 2026PECOS Enrolled
1700 COFFEE RD, MODESTO, CA 95355(209) 569-7493 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amara Fayyaz NPPES

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

AMARA FAYYAZ (NPI 1407795412) is an individual student in an organized health care education/training program in Modesto, California and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407795412
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAMARA FAYYAZ
Location Address1700 COFFEE RDModesto, CA 95355-2803
Mailing Address1700 Coffee RdModesto, CA 95355-2803
Sole ProprietorNo
Enumeration DateMarch 26, 2026
NPPES CertifiedMarch 25, 2026
NPI 1407795412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1700 COFFEE RD, Modesto, CA 95355

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Amara Fayyaz 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.

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.

Radiology (Radiation Oncology)
1700 COFFEE RD
MODESTO, CA 95355
Pharmacist
1700 COFFEE RD
MODESTO, CA 95355
Student in an Organized Health Care Education/Training Program
1700 COFFEE RD
MODESTO, CA 95355
Nurse Practitioner
1700 COFFEE RD
MODESTO, CA 95355
Student in an Organized Health Care Education/Training Program
1700 COFFEE RD
MODESTO, CA 95355
Student in an Organized Health Care Education/Training Program
1700 COFFEE RD
MODESTO, CA 95355
Nurse Practitioner (Acute Care)
1700 COFFEE RD
MODESTO, CA 95355
Student in an Organized Health Care Education/Training Program
1700 COFFEE RD
MODESTO, CA 95355

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amara Fayyaz's NPI number?

The NPI number for Amara Fayyaz is 1407795412. It was assigned to this individual provider in the NPPES registry on March 26, 2026.

Where is Amara Fayyaz located?

Amara Fayyaz practices at 1700 Coffee Rd, Modesto, CA 95355. The listed phone number is (209) 569-7493.

What is Amara Fayyaz's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Amara Fayyaz enrolled in Medicare?

Yes. Amara Fayyaz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amara Fayyaz was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.