NPIMap

Individual provider Active NPI

Jack J Farahi, M.D.

  • Specialist
  • Inglewood, CA
National Provider Identifier
1225034358
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G67763 Issued in CA
Practice address
501 E Hardy St
Ste 200
Inglewood, CA 90301-4057
Phone
(310) 672-3900
Fax
(310) 671-8438
NPI assigned
Jun 23, 2005
Last updated
Nov 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G67763 CA Primary

Addresses

Primary practice location

501 E Hardy St
Ste 200
Inglewood, CA 90301-4057

Mailing address

501 E Hardy St
Ste 200
Inglewood, CA 90301-4057
Phone (310) 672-3900

Other identifiers 3

IdentifierTypeStateIssuer
00G677630MedicaidCA
95-4170981OtherCAGROUP PROVIDER ID
G67763OtherCAMEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jack.farahi@apex.directbygreenway.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100222000465 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6002950573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Southern California Keck School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Apex Cardiology ConsultantsGroup PAC ID 0345226767, 8 clinicians

Practice addresses (Care Compare)

501 E Hardy St
Suite 200
Inglewood, CA 90301-4057
Phone (310) 672-3900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.9 of 100Reported as individual
Quality
71.79
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Cardiology Consultants Specialist CurrentSince Jul 1, 1994 Accepting new patients
Prime Healthcare Centinela, LLC Past Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients
Brotman Medical Center, Inc. Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Cedars-Sinai Marina Hospital Past Accepting new patients

Locations

501 E Hardy St
Ste 200
Inglewood, CA 90301
Phone (310) 672-3900

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70734

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1225034358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E HARDY ST",
            "address_2": "STE 200",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014057",
            "telephone_number": "310-672-3900",
            "fax_number": "310-671-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E HARDY ST",
            "address_2": "STE 200",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014057",
            "telephone_number": "310-672-3900",
            "fax_number": "310-671-8438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAHI",
        "first_name": "JACK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G67763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G677630",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PROVIDER ID",
            "identifier": "95-4170981",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G67763",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jack.farahi@apex.directbygreenway.com",
            "affiliation": "N",
            "endpointDescription": "Direct message address for secure communication",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "501 E Hardy St",
            "address_2": "Ste 200",
            "city": "Inglewood",
            "state": "CA",
            "country_code": "US",
            "postal_code": "903014057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.