FARIBA MAZDEH (NP) – Nurse Practitioner, NPI 1669786117
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for FARIBA MAZDEH (NP)
333 1ST ST STE A
SAN FRANCISCO, CA 941052661
Phone: (888) 803-3370
Fax: (888) 803-3331
Type: Location
540 LITCHFIELD ST
TORRINGTON, CT 067906679
Phone: (972) 449-0540
Type: Location
5109 DELANCEY ST
COLUMBUS, OH 432202570
Phone: (614) 584-3834
Type: Mailing
7081 TIMBERVIEW DR
DUBLIN, OH 430171017
Phone: (614) 889-7513
Type: Mailing
881 E MAIN ST
COLUMBUS, OH 432051713
Phone: (614) 253-8537
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2023-05-15 • Largest payer in this snapshot: ABBVIE INC. ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $20 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-12-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 12 Medicare enrollment records; no due dates published yet.
Enrollment records
12
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101026000537 | I | Nurse Practitioner | OH | TBD |
| I20230417001952 | I | Nurse Practitioner | CA | TBD |
| I20250625002479 | I | Nurse Practitioner | AZ | TBD |
| I20250709001269 | I | Nurse Practitioner | CT | TBD |
| I20250709001461 | I | Nurse Practitioner | VA | TBD |
| I20250924004433 | I | Nurse Practitioner | IA | TBD |
| I20251001000891 | I | Nurse Practitioner | FL | TBD |
| I20251001004374 | I | Nurse Practitioner | ID | TBD |
| I20251015001968 | I | Nurse Practitioner | WA | TBD |
| I20251017003368 | I | Nurse Practitioner | NC | TBD |
| I20251029001706 | I | Nurse Practitioner | PA | TBD |
| I20251204001966 | I | Nurse Practitioner | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 94105)
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