MEDICARE: DR. FARZOOK FAYYAZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	184176	CA

General Provider Information

NPI Number	:	1235791765
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FARZOOK FAYYAZ MD

Provider Business Mailing Address
First Line	:	3835 N FREEWAY BLVD STE 100
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-1954
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1922 THE ALAMEDA STE 440
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95126-1462
Country	:	US
Telephone Number	:	855-427-2778
Fax Number	:	408-400-0437

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/04/2019
Last Update Date	:	05/15/2026

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