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FARADEBAH WAZIRI
NPI 1902069289
Case Manager/Care Coordinator in Los Gatos, CA

Active since July 07, 2008PECOS EnrolledAccepts Medicare Assignment
499 LOMA ALTA AVE, LOS GATOS, CA 95030(408) 335-1911(408) 335-1910 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Faradebah Waziri NPPES

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

FARADEBAH WAZIRI (NPI 1902069289) is an individual case manager/care coordinator provider in Los Gatos, California and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1902069289
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameFARADEBAH WAZIRI
Location Address499 LOMA ALTA AVELos Gatos, CA 95030-6227
Mailing Address499 Loma Alta AveLos Gatos, CA 95030-6227 · (408) 335-1911 · Fax (408) 335-1910
Phone(408) 335-1911
Fax(408) 335-1910
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 7, 2008
Last NPPES UpdateJune 27, 2022
NPPES CertifiedJune 27, 2022
✔ NPI 1902069289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
499 LOMA ALTA AVE, Los Gatos, CA 95030
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Faradebah Waziri is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244613198
PECOS Enrollment IDI20220810002552
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.

Medicare Billing Reassignment

Medicare enrollment records show Faradebah Waziri reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
8.4 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

CESAR MAXIMILIAN SALAZAR
Counselor (Mental Health)
499 LOMA ALTA AVE
LOS GATOS, CA 95030
Santa Clara County (408) 354-2933
CARLY MITCHELL
Case Manager/Care Coordinator
499 LOMA ALTA AVE
LOS GATOS, CA 95030
Santa Clara County (408) 335-1832
MARIANA ROSAS B.A.
Counselor
499 LOMA ALTA AVE
LOS GATOS, CA 95030
Santa Clara County (408) 335-1826
FRANCISCO GALVAN
Community Health Worker
499 LOMA ALTA AVE
LOS GATOS, CA 95030
Santa Clara County (408) 379-3790
LUZ M PARDO DE FIGUEROA
Peer Specialist
499 LOMA ALTA AVE
LOS GATOS, CA 95030
Santa Clara County (669) 308-1361
MR. KEITH RAY ALLEN
Rehabilitation Practitioner
499 LOMA ALTA AVE
LOS GATOS, CA 95030
Santa Clara County (408) 332-6831
IRELAND SHEA CULLINAN
Rehabilitation Practitioner
499 LOMA ALTA AVE
LOS GATOS, CA 95030
Santa Clara County (760) 636-9116
OLUBUSAYO OLUWADAMILOLA ODUSANYA
Marriage & Family Therapist
499 LOMA ALTA AVE
LOS GATOS, CA 95030
Santa Clara County (877) 722-2737

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 Faradebah Waziri's NPI number?

The NPI number for Faradebah Waziri is 1902069289. It was assigned to this individual provider in the NPPES registry on July 7, 2008.

Where is Faradebah Waziri located?

Faradebah Waziri practices at 499 Loma Alta Ave, Los Gatos, CA 95030. The listed phone number is (408) 335-1911.

What is Faradebah Waziri's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Is Faradebah Waziri enrolled in Medicare?

Yes. Faradebah Waziri is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Faradebah Waziri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Faradebah Waziri reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Faradebah Waziri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Faradebah Waziri was last updated on June 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.