Organization Active NPI

Mirhassan Farivar, MD, PA

  • Cardiovascular Disease Physician
  • San Antonio, TX
National Provider Identifier
1194984872
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
J3465 Issued in TX
Legal business name
MIRHASSAN FARIVAR, MD, PA
Practice address
414 Navarro St
1033
San Antonio, TX 78205-2516
Phone
(210) 587-8888
Fax
(210) 587-8889
NPI assigned
Jun 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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

Authorized official

Name
Dr. Mirhassan Farivar, M.D.
Title
Physician/Owner
Phone
(210) 587-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X J3465 TX Primary

Addresses

Primary practice location

414 Navarro St
1033
San Antonio, TX 78205-2516

Mailing address

PO Box 17650
San Antonio, TX 78217-0650
Phone (210) 587-8888

Other identifiers 1

IdentifierTypeStateIssuer
196762201MedicaidTX

National Provider Directory

National Provider Directory

Locations

414 Navarro St
Ste 1625
San Antonio, TX 78205
Phone (210) 587-8888

414 Navarro St
Ste 1033
San Antonio, TX 78205
Phone (210) 587-8888

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1194984872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17650",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782170650",
            "telephone_number": "210-587-8888",
            "fax_number": "210-587-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 NAVARRO ST",
            "address_2": "1033",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052516",
            "telephone_number": "210-587-8888",
            "fax_number": "210-587-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRHASSAN FARIVAR, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "FARIVAR",
        "authorized_official_first_name": "MIRHASSAN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "210-587-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "J3465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196762201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.