Individual provider Active NPI

Farid Yasharpour, M.D.

  • Specialist
  • San Fernando, CA
National Provider Identifier
1073505764
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A65312 Issued in CA
Practice address
14671 Rinaldi St
San Fernando, CA 91340-4199
Phone
(818) 270-9030
Fax
(818) 270-9039
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A065312 CA
Specialist 174400000X A65312 CA Primary

Addresses

Primary practice location

14671 Rinaldi St
San Fernando, CA 91340-4199

Mailing address

14671 Rinaldi St
San Fernando, CA 91340-4199
Phone (818) 270-9030

Other identifiers 1

IdentifierTypeStateIssuer
A653120OtherCAP10

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040506001693 CA Practitioner - Obstetrics/Gynecology 9830188754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Un of California, Irvine, College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14671 Rinaldi St
San Fernando, CA 91340-4199
Phone (818) 270-9030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A65312CAMDSpecialist
A065312CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Presbyterian Hospital Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Dignity Community Care Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1073505764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14671 RINALDI ST",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404199",
            "telephone_number": "818-270-9030",
            "fax_number": "818-270-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14671 RINALDI ST",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404199",
            "telephone_number": "818-270-9030",
            "fax_number": "818-270-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASHARPOUR",
        "first_name": "FARID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A065312",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A65312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P10",
            "identifier": "A653120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Fernando, CA

Sources for this page

Verify at the official NPI Registry.