Healthcare Provider Details

I. General information

NPI: 1730655739
Provider Name (Legal Business Name): SANAZ PARSA MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2018
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 WOODLAND DR
MURPHYS CA
95247-9787
US

IV. Provider business mailing address

366 MAIN STREET
MURPHYS CA
95247
US

V. Phone/Fax

Practice location:
  • Phone: 917-365-7016
  • Fax: 917-905-5246
Mailing address:
  • Phone: 650-275-3422
  • Fax: 650-447-2020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: SANAZ PARSA
Title or Position: OWNER
Credential: MD
Phone: 917-365-7016