FARIBA MAZDEH NP
NPI 1669786117
Nurse Practitioner - Family in San Francisco, CA

Q: What is Fariba Mazdeh's NPI number?

The NPI number for Fariba Mazdeh is 1669786117. It was assigned to this individual provider in the NPPES registry on July 27, 2010.

Q: What is Fariba Mazdeh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Fariba Mazdeh was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 27, 2010PECOS Enrolled

333 1ST ST STE A, SAN FRANCISCO, CA 94105(888) 803-3370(888) 803-3331 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 20, 2026, Sep 16, 2025, Sep 6, 2025 and 2 more (5 updates tracked since 2023).

On this page

About Fariba Mazdeh Np NPPES

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

FARIBA MAZDEH NP (NPI 1669786117) is an individual family provider in San Francisco, California, licensed in Ohio (11615) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Torrington, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1669786117

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameFARIBA MAZDEHCredential: NP

Location Address333 1ST ST STE ASan Francisco, CA 94105-2661

Mailing Address5109 Delancey StColumbus, OH 43220-2570 · (614) 584-3834

Phone(888) 803-3370

Fax(888) 803-3331

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 27, 2010

Last NPPES UpdateJanuary 20, 20265 updates tracked since enumeration

NPPES CertifiedJanuary 20, 2026

✔ NPI 1669786117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in OH · 11615✔ Licensed in VA · 0024183198✔ Licensed in CA · 95019754✔ Licensed in IA · G186782✔ Licensed in AZ · 269497

Also ListedNurse PractitionerTaxonomy 363L00000X · License 12.014988 (CT)

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License G186782 (IA), 269497 (AZ), 0024183198 (VA), 95019754 (CA), 11615 (OH), 14988 (CT)

333 1ST ST STE A, San Francisco, CA 94105

Open in Google Maps ↗

Secondary Practice Location 1

Location 1540 LITCHFIELD STTORRINGTON, CT 06790-6679 · Phone (972) 449-0540

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fariba Mazdeh Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072706704

PECOS Enrollment IDI20250709001269, I20250709001461, I20251017003368, I20251029001706, I20251204001966

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 94105 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

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

Most-billed visit code 99214

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

Leave this field empty

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.

MRS. KILEA LANAY JOHNSON MSN, RN, FNP-C

Nurse Practitioner (Family)