Organization Active NPI

Farshad J Nosratian M D Inc

  • Cardiovascular Disease Physician
  • Hawthorne, CA
National Provider Identifier
1144416942
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G53751 Issued in CA
Legal business name
FARSHAD J NOSRATIAN M D INC
Practice address
11726 Grevillea Ave
Hawthorne, CA 90250-2223
Phone
(310) 679-9999
Fax
(310) 679-0000
NPI assigned
Sep 14, 2007
Last updated
Sep 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Authorized official

Name
Dr. Farshad Joseph Nosratian, M.D,NPI 1639253396
Title
President
Phone
(310) 679-9999

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G53751 CA Primary

Addresses

Primary practice location

11726 Grevillea Ave
Hawthorne, CA 90250-2223

Mailing address

PO Box 215
Hawthorne, CA 90251-0215
Phone (310) 679-9999

Other identifiers 1

IdentifierTypeStateIssuer
00G537511MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080124000707 CA Part B Supplier - Clinic/Group Practice 1850473133 Receives reassigned benefits from 1 practitioner
Practice locations: Hawthorne, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1144416942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902510215",
            "telephone_number": "310-679-9999",
            "fax_number": "310-679-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11726 GREVILLEA AVE",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502223",
            "telephone_number": "310-679-9999",
            "fax_number": "310-679-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARSHAD J NOSRATIAN M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "NOSRATIAN",
        "authorized_official_first_name": "FARSHAD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-679-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G53751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G537511",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.