Organization Active NPI

Farooqui Medical Associates Inc

  • Internal Medicine Physician
  • Northridge, CA
National Provider Identifier
1124544986
Registry record updated Feb 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FAROOQUI MEDICAL ASSOCIATES INC
Practice address
18433 Roscoe Blvd Ste 202
Northridge, CA 91325-4134
Phone
(818) 349-1262
NPI assigned
Aug 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2024

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

Authorized official

Name
Mohammed S Farooqui, MDNPI 1982752465
Title
President
Phone
(818) 275-8636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary
Hospitalist PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208M00000X

Addresses

Primary practice location

18433 Roscoe Blvd Ste 202
Northridge, CA 91325-4134

Mailing address

3835R E Thousand Oaks Blvd Ste 336
Westlake Village, CA 91362-6622

Other practice location 1

2660 Featherwood St
Westlake Village, CA 91362-5148
Phone (818) 247-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171122000350 CA Part B Supplier - Clinic/Group Practice 9032476379 Receives reassigned benefits from 2 practitioners
Practice locations: Reseda, CA; West Hills, CA; Thousand Oaks, CA; Northridge, CA; Chatsworth, CA

National Provider Directory

National Provider Directory

Locations

3835 E Thousand Oaks Blvd
Ste R
Westlake Village, CA 91362
Phone (888) 877-7947

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706918400000",
    "number": "1124544986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835R E THOUSAND OAKS BLVD STE 336",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913626622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18433 ROSCOE BLVD STE 202",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254134",
            "telephone_number": "818-349-1262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2660 Featherwood St",
            "address_purpose": "LOCATION",
            "city": "Westlake Village",
            "state": "CA",
            "postal_code": "913625148",
            "country_code": "US",
            "telephone_number": "818-247-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAROOQUI MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2024-02-03",
        "certification_date": "2024-02-03",
        "status": "A",
        "authorized_official_last_name": "FAROOQUI",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-275-8636",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2024; 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.