Individual provider Active NPI

Ted Farzaneh, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Aliso Viejo, CA
National Provider Identifier
1225588510
Registry record updated Sep 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A145309 Issued in CA
Practice address
31 Columbia
Aliso Viejo, CA 92656-1460
Phone
(949) 445-7300
NPI assigned
Oct 11, 2016
Last updated
Sep 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A145309 CA Primary

Addresses

Primary practice location

31 Columbia
Aliso Viejo, CA 92656-1460

Mailing address

31 Columbia
Aliso Viejo, CA 92656-1460
Phone (949) 445-7300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180606002821 CA Practitioner - Pathology 5890073712 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modesto Gastroenterology Medical CorporationGroup PAC ID 8628065687, 2 clinicians

Practice addresses (Care Compare)

2336 Sylvan Ave
Suite a
Modesto, CA 95355-9211
Phone (209) 338-0292

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95.85
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Anatomic Pathology & Clinical Pathology CurrentSince Jul 15, 2019 Accepting new patients
Regents of the University of California Anatomic Pathology & Clinical Pathology CurrentSince Jul 15, 2019 Accepting new patients
Modesto Gastroenterology Medical Corporation CurrentSince Jul 1, 2023 Accepting new patients
Jonathan S Pourmorady MD Corp CurrentSince Nov 13, 2023 Accepting new patients
Doctors Medical Center of Modesto, Inc. PastSince Jul 1, 2023 Accepting new patients

Locations

12495 Valley View St
Garden Grove, CA 92845
Phone (714) 897-9355

8631 W 3rd St
Ste 1015E
Los Angeles, CA 90048
Phone (310) 614-3897

2336 Sylvan Ave
Ste A
Modesto, CA 95355
Phone (209) 338-0292

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788652800000",
    "number": "1225588510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 COLUMBIA",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926561460",
            "telephone_number": "949-445-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 COLUMBIA",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926561460",
            "telephone_number": "949-445-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARZANEH",
        "first_name": "TED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-11",
        "last_updated": "2026-09-06",
        "certification_date": "2026-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A145309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

Verify at the official NPI Registry.