=====================================================
General NPI Number Information
=====================================================
NPI Number | 1295923902
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SANAZ PARSA MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/09/2007
-----------------------------------------------------
Last Update Date | 06/09/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 31 WOODLAND DR
-----------------------------------------------------
City | MURPHYS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95247-9787
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 917-365-7016
-----------------------------------------------------
Fax | 917-905-5246
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 626
-----------------------------------------------------
City | MURPHYS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95247-0626
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 650-275-3422
-----------------------------------------------------
Fax | 650-447-2020
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number | A116887
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------