Healthcare Provider Details
I. General information
NPI: 1265664940
Provider Name (Legal Business Name): NARJES FERJANI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/14/2009
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6475 CAMDEN AVE STE 105
SAN JOSE CA
95120-2847
US
IV. Provider business mailing address
20642 JOHN DR
CASTRO VALLEY CA
94546-5103
US
V. Phone/Fax
- Phone: 408-997-9155
- Fax:
- Phone: 510-581-2559
- Fax: 510-581-5396
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | C133421 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207QB0002X |
| Taxonomy | Obesity Medicine (Family Medicine) Physician |
| License Number | C133421 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: