Active NPI
Kathy Farzad, DDS
- General Practice Dentistry
- West Hollywood, CA
National Provider Identifier
1205130663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 49881
- Practice address
- 9201 W Sunset Blvd Ste 915
West Hollywood, CA 90069-3710 - Phone
- (310) 286-0265
- NPI assigned
- Dec 28, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 49881 | CA | Primary |
Addresses
Primary practice location
9201 W Sunset Blvd Ste 915
West Hollywood, CA 90069-3710
Mailing address
PO Box 7539
Beverly Hills, CA 90212-7539
Phone (310) 286-0265
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49881 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1205130663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7539",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902127539",
"telephone_number": "310-286-0265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9201 W SUNSET BLVD STE 915",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900693710",
"telephone_number": "310-286-0265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARZAD",
"first_name": "KATHY",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-28",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "49881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.