Organization Active NPI

Farjoudi Medical Corporation

  • Endocrinology, Diabetes & Metabolism Physician
  • Laguna Hills, CA
National Provider Identifier
1215550256
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
FARJOUDI MEDICAL CORPORATION
Practice address
23521 Paseo de Valencia Ste 108
Laguna Hills, CA 92653-3137
Phone
(949) 943-3334
Fax
(949) 943-3238
NPI assigned
May 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Authorized official

Name
Farhad Farjoudi, M.D.NPI 1215251822
Title
President
Phone
(614) 288-8383

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
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

23521 Paseo de Valencia Ste 108
Laguna Hills, CA 92653-3137

Mailing address

29911 Niguel Rd # 7993
Laguna Niguel, CA 92607-2479
Phone (619) 288-8383

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200706002166 CA Part B Supplier - Clinic/Group Practice 7810310166 Receives reassigned benefits from 1 practitioner
Practice locations: Laguna Hills, CA

National Provider Directory

National Provider Directory

Locations

113 Waterworks Way
Ste 250
Irvine, CA 92618
Phone (949) 241-3722

113 Waterworks Way
Ste 108
Irvine, CA 92618

23521 Paseo de Valencia
#106
Laguna Hills, CA 92653

24953 Paseo de Valencia
Ste 28B
Laguna Hills, CA 92653
Phone (949) 776-7537

29911 Niguel Rd
Unit 7693
Laguna Niguel, CA 92607
Phone (619) 269-1296

Practitioners & affiliated clinicians

Practitioners 1

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": "1590451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1215550256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29911 NIGUEL RD # 7993",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926072479",
            "telephone_number": "619-288-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23521 PASEO DE VALENCIA STE 108",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533137",
            "telephone_number": "949-943-3334",
            "fax_number": "949-943-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARJOUDI MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-26",
        "last_updated": "2022-03-01",
        "certification_date": "2020-11-27",
        "status": "A",
        "authorized_official_last_name": "FARJOUDI",
        "authorized_official_first_name": "FARHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-288-8383",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.