| E. Isaac Faraji Md A Professional Corporation | |
| 
					1729 N. Olive Ave Suite 11 Turlock CA 95382  | |
| (209) 667-0543 | |
| (209) 667-0613 | 
| Full Name | E. Isaac Faraji Md A Professional Corporation | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 1729 N. Olive Ave, Turlock, California | 
| Authorized Official Name and Position | Eshagh Isaac Faraji (CEO) | 
| Authorized Official Contact | 2096670543 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| E. Isaac Faraji Md A Professional Corporation Po Box 3166 Turlock CA 95381-3166 Ph: (209) 667-0543  | E. Isaac Faraji Md A Professional Corporation 1729 N. Olive Ave Suite 11 Turlock CA 95382 Ph: (209) 667-0543  | 
| NPI Number | 1902909807 | 
|---|---|
| Provider Enumeration Date | 09/06/2006 | 
| Last Update Date | 08/22/2020 | 
| Medicare PECOS PAC ID | 7911163993 | 
|---|---|
| Medicare Enrollment ID | O20120718000857 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1902909807 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary | 
| Provider Name | Eshagh Isaac Faraji | 
|---|---|
| Provider Type | Practitioner - Gastroenterology | 
| Provider Identifiers | NPI Number: 1912000811 PECOS PAC ID: 0446262240 Enrollment ID: I20120718000877  | 
Livingston Community Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2141 Colorado Ave, Turlock, CA 95382 Phone: 209-850-3500  | |
Golden Valley Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1199 Delbon Ave Ste 3, Turlock, CA 95382 Phone: 209-667-0905 Fax: 209-667-0922  | |
Golden Valley Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2240 W Monte Vista Ave, Turlock, CA 95382 Phone: 209-667-1270 Fax: 209-667-1269  | |
Vijaya Thakur Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 840 Delbon Ave, Suite B, Turlock, CA 95382 Phone: 209-668-2600 Fax: 209-668-2631  | |
Mark Mangiapane Do Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 Colorado Ave, Turlock, CA 95382 Phone: 209-250-2683 Fax: 209-250-2684  | |
Alexander Evens, Do Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1199 Delbon Ave, Ste 5, Turlock, CA 95382 Phone: 209-656-0183 Fax: 209-656-0199  | |
Golden Valley Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 Delbon Ave, Turlock, CA 95382 Phone: 209-667-0905 Fax: 209-667-0922  |