Individual provider Active NPI

Ferid Addish, PA-C

  • Physician Assistant
  • Anaheim, CA
National Provider Identifier
1013507300
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
59044 Issued in CA
Practice address
1105 S Positano Ave
Anaheim, CA 92808-1544
Phone
(714) 851-8584
NPI assigned
Jan 21, 2021
Last updated
Jan 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 59044 CA Primary

Addresses

Primary practice location

1105 S Positano Ave
Anaheim, CA 92808-1544

Mailing address

1105 S Positano Ave
Anaheim, CA 92808-1544
Phone (714) 851-8584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210304001639 CA Practitioner - Physician Assistant 3375959026 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
59044CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope Podiatry Group Inc. PastSince Dec 29, 2024 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ferid.addish@398008301912068.direct.elationemr.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FHCIAD/Endpoint/FHCIAD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1013507300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 S POSITANO AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081544",
            "telephone_number": "714-851-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 S POSITANO AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081544",
            "telephone_number": "714-851-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDISH",
        "first_name": "FERID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "59044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.