Fardin Hakakian DPM Inc

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

FARDIN HAKAKIAN DPM INC

Practice address

19228 Ventura Blvd Ste a
Tarzana, CA 91356-3101

Phone

(818) 578-5125

Fax

(818) 578-6039

NPI assigned

Nov 13, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Bertha Andrade

Title

Office Manager

Phone

(818) 578-5125

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fardin Hakakian, D.P.M.

  • Podiatrist
  • Tarzana, CA
  • NPI 1801812359
  Medicare reassignment NPD

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1114495744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19228 VENTURA BLVD STE A",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563101",
            "telephone_number": "818-578-5125",
            "fax_number": "818-578-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19228 VENTURA BLVD STE A",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563101",
            "telephone_number": "818-578-5125",
            "fax_number": "818-578-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARDIN HAKAKIAN DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-13",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "ANDRADE",
        "authorized_official_first_name": "BERTHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-578-5125",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Planning Associates Medical Group Inc
• Jacquelyn Fanno, CMT
• Fara Salehi DDS a Professional Corporation
• Olesia Farberov, L.AC
• Mona Fard, B.S. DENTAL HYGIENIS
• Farideh Farid, PTA
• Daniel Farnad
• Tania Farshi, D.D.S
• Shiva Kiaee Farzan
• Stephanie Favela

• Podiatric Clinic/Center in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Podiatric Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.