NPIMap

Individual provider Active NPI

Pantea Farhadi, M.D

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1104077726
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A105057 Issued in CA
Practice address
8635 West 3Rd Street
Suite W 1065
Los Angeles, CA 90048
Phone
(310) 890-7598
NPI assigned
Oct 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A105057 CA Primary

Addresses

Primary practice location

8635 West 3Rd Street
Suite W 1065
Los Angeles, CA 90048

Mailing address

8581 Santa Monica Blvd # 137
West Hollywood, CA 90069-4120
Phone (310) 890-7598

Other identifiers 1

IdentifierTypeStateIssuer
A105057MedicaidCA

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
I20090216000050 CA Practitioner - Psychiatry 6103981709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Pantea Farhadi MD a Medical CorporationGroup PAC ID 6305011545, 4 clinicians

Practice addresses (Care Compare)

8581 Santa Monica Blvd
Suite 137
West Hollywood, CA 90069-4120

8635 W 3Rd St
Los Angeles, CA 90048-6105
Phone (310) 890-7598

Hospital & facility affiliations

  • Southern California Hospital at Hollywood Hospital, Hollywood, CA, CCN 050135
  • L a Downtown Medical Center Hospital, Los Angeles, CA, CCN 050763
  • Kaiser Foundation Hospital - West la Hospital, Los Angeles, CA, CCN 050561
  • Kaiser Foundation Hospital - South Bay Hospital, Harbor City, CA, CCN 050411
  • Saint John'S Health Center Hospital, Santa Monica, CA, CCN 050290

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95.63
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A105057CAMDPsychiatry Physician

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Neuropsychology Consultants, Inc CurrentSince Sep 19, 2011 Accepting new patients
Culver City Psychological Associates, Inc. Past Accepting new patients

Locations

8635 W 3rd St
Ste 1065W
Los Angeles, CA 90048
Phone (310) 360-0331

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1104077726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8581 SANTA MONICA BLVD # 137",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694120",
            "telephone_number": "310-890-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 WEST 3RD STREET",
            "address_2": "SUITE W 1065",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90048",
            "telephone_number": "310-890-7598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARHADI",
        "first_name": "PANTEA",
        "name_prefix": "Mrs.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A105057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A105057",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.