Organization Active NPI

Dr Morteza Farr DO Inc

  • Orthopaedic Surgery Physician
  • San Jose, CA
National Provider Identifier
1033425350
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
20A8078 Issued in CA
Legal business name
DR MORTEZA FARR DO INC
Practice address
125 N Jackson Ave Ste 101
San Jose, CA 95116-1914
Phone
(408) 258-6565
Fax
(408) 258-1220
NPI assigned
Aug 24, 2010
Last updated
Aug 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Authorized official

Name
Dr. Morteza M Farr, D.O.NPI 1023066891
Title
President/Ceo
Phone
(831) 713-8879

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X 20A8078 CA Primary

Addresses

Primary practice location

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

Mailing address

125 N Jackson Ave Ste 101
San Jose, CA 95116-1914
Phone (831) 713-8879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110504000200 CA Part B Supplier - Clinic/Group Practice 4183809387 Receives reassigned benefits from 2 practitioners
Practice locations: Tracy, CA; San Jose, CA; Manteca, CA; Gilroy, CA; Fremont, CA

National Provider Directory

National Provider Directory

Locations

1208 E 5th St
Ste 2ND
Benicia, CA 94510
Phone (707) 745-3112

1208 E 5th St
Ste 300
Benicia, CA 94510
Phone (707) 748-7248

9400 No Name Uno
Gilroy, CA 95020
Phone (408) 848-2000

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1033425350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N JACKSON AVE STE 101",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161914",
            "telephone_number": "831-713-8879",
            "fax_number": "408-258-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N JACKSON AVE STE 101",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161914",
            "telephone_number": "408-258-6565",
            "fax_number": "408-258-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MORTEZA FARR DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "FARR",
        "authorized_official_first_name": "MORTEZA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "831-713-8879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "20A8078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.