NPIMap

Individual provider Active NPI

Morteza Moosavi Farr, D.O.

  • Orthopaedic Surgery Physician
  • San Jose, CA
National Provider Identifier
1023066891
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
020A80782 Issued in CA
Practice address
125 N Jackson Ave
# 101
San Jose, CA 95116-1914
Phone
(408) 258-6565
Fax
(408) 258-1220
NPI assigned
May 4, 2006
Last updated
Apr 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 020A80782 CA Primary

Addresses

Primary practice location

125 N Jackson Ave
# 101
San Jose, CA 95116-1914

Mailing address

125 N Jackson Ave
# 101
San Jose, CA 95116-1914
Phone (408) 258-6565

Other identifiers 1

IdentifierTypeStateIssuer
00AX80780MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040309001487 CA Practitioner - Orthopedic Surgery 5890683908 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Morteza Farr DO IncGroup PAC ID 4183809387, 2 clinicians

Practice addresses (Care Compare)

125 N Jackson Ave
Suite 205
San Jose, CA 95116-1915
Phone (408) 258-6565

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement15
Spinal fusion40
Lower limb (leg) arthroscopy (minimally invasive joint repair)11
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Laminectomy or laminotomy (partial removal of spine bones)13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
020A80782CAMDOrthopaedic Surgery Physician
8078CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Anesthesia Inc CurrentSince Mar 14, 2026 Accepting new patients
Foad Elahi MD California Center of Pain Medicine and Rehabilitation I CurrentSince Jul 1, 2015 Accepting new patients
Sutter Tracy Community Hospital Past Accepting new patients
County of Santa Clara Past Accepting new patients
San Joaquin Kidney Clinic, Inc PastSince Nov 15, 2023 Accepting new patients
Dignity Health Past Accepting new patients
Innovative Spine Surgery Orthopaedic Surgery PastSince Aug 31, 2009 Accepting new patients
Spine Clinic of Monterey Bay Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Watsonville Hospital Corporation Past Accepting new patients
O'Connor Hospital Past Accepting new patients
Tracy Orthopedics and Sports Medical Center Orthopaedic Surgery PastSince Sep 1, 2019 Accepting new patients
Frank M de Mayo M D P C Orthopaedic Surgery PastSince Sep 1, 2005 Accepting new patients

Locations

39350 Civic Center Dr
Ste 100
Fremont, CA 94538
Phone (510) 453-4600

656 Mowry Ave
Fremont, CA 94536
Phone (510) 742-5511

1144 Norman Dr
Ste 104
Manteca, CA 95336
Phone (209) 456-5516

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEECDA/Endpoint/GEECDA
  • Direct secure messaging: mfarr125659@santaclaravalley.direct-ci.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Compassionate Home Health & Hospice IncWalnut Creek, CA, CCN B31746 Hospice Contracted Managing Employee May 17, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1023066891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N JACKSON AVE",
            "address_2": "# 101",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161914",
            "telephone_number": "408-258-6565",
            "fax_number": "408-258-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N JACKSON AVE",
            "address_2": "# 101",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161914",
            "telephone_number": "408-258-6565",
            "fax_number": "408-258-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARR",
        "first_name": "MORTEZA",
        "middle_name": "MOOSAVI",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "020A80782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX80780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.