Organization Active NPI

Sirus Farivar, M.D.

  • Gastroenterology Physician
  • Huntington Beach, CA
National Provider Identifier
1114148525
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
SIRUS FARIVAR, M.D.
Practice address
17822 Beach Blvd Ste 437
Huntington Beach, CA 92647-7181
Phone
(714) 841-7878
NPI assigned
May 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Pam Calderon
Title
Billing Manager
Phone
(310) 343-8884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X CA Primary

Addresses

Primary practice location

17822 Beach Blvd Ste 437
Huntington Beach, CA 92647-7181

Mailing address

17822 Beach Blvd Ste 437
Huntington Beach, CA 92647-7181
Phone (714) 841-7878

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114148525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17822 BEACH BLVD STE 437",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477181",
            "telephone_number": "714-841-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17822 BEACH BLVD STE 437",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477181",
            "telephone_number": "714-841-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIRUS FARIVAR, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "310-343-8884"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.