Active NPI
Shaban Azar Farr, M.D.
- Surgery Physician
- Granada Hills, CA
National Provider Identifier
1104854637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- B50211
- Practice address
- 10515 Balboa Blvd
Suite 280a
Granada Hills, CA 91344-6343 - Phone
- (818) 360-2800
- Fax
- (818) 363-2100
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | B50211 | CA | |
| Surgery Physician | 208600000X | B50211 | CA | Primary |
Addresses
Primary practice location
10515 Balboa Blvd
Suite 280a
Granada Hills, CA 91344-6343
Mailing address
10515 Balboa Blvd
Suite 280a
Granada Hills, CA 91344-6343
Phone (818) 360-2800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B50211 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shaban Azar Farr, MD | Past | Accepting new patients |
Organizations & group practices 1
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.
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- Reseda, CA
- NPI 1942534987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1104854637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10515 BALBOA BLVD",
"address_2": "SUITE 280A",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913446343",
"telephone_number": "818-360-2800",
"fax_number": "818-363-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10515 BALBOA BLVD",
"address_2": "SUITE 280A",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913446343",
"telephone_number": "818-360-2800",
"fax_number": "818-363-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARR",
"first_name": "SHABAN",
"middle_name": "AZAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "B50211",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "B50211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Granada Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.