Individual provider Active NPI

Sima Fargahi, M.D.

  • Specialist
  • Orange, CA
National Provider Identifier
1124239397
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
101 The City Drive
Orange, CA 92868
Phone
(714) 456-6141
NPI assigned
May 26, 2007
Reactivated
Oct 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X CA Primary

Addresses

Primary practice location

101 The City Drive
Orange, CA 92868

Mailing address

PO Box 2853
Capistrano Beach, CA 92624

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
I20140422002039 CA Practitioner - Pathology 1951533116 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erik Kerekes MD IncGroup PAC ID 7719360981, 2 clinicians

Practice addresses (Care Compare)

401 Old Newport Blvd
Suite 101
Newport Beach, CA 92663-4276
Phone (949) 321-4400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Mar 5, 2014 Accepting new patients
Emeritus Medical Technology LLC CurrentSince Mar 1, 2021 Accepting new patients
Erik Kerekes, M.D., Inc. CurrentSince Feb 1, 2023 Accepting new patients

Locations

1360 Logan Ave
Ste 100
Costa Mesa, CA 92626
Phone (657) 289-0035

10 Pasteur
Ste 150
Irvine, CA 92618
Phone (949) 396-6830

401 Old Newport Blvd
Ste 101
Newport Beach, CA 92663
Phone (949) 321-4400

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

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.

NPI Registry JSON

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

{
    "created_epoch": "1180137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1124239397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2853",
            "city": "CAPISTRANO BEACH",
            "state": "CA",
            "postal_code": "92624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DRIVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "714-456-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARGAHI",
        "first_name": "SIMA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-26",
        "last_updated": "2012-01-27",
        "deactivation_date": "2009-04-01",
        "reactivation_date": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.