Active NPI
Keyvan Farhad, ND
- Naturopath
- Irvine, CA
National Provider Identifier
1225775612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- ND1333
- Practice address
- 113 Waterworks Way Ste 155
Irvine, CA 92618-3163 - Phone
- (949) 612-9090
- NPI assigned
- May 17, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86016431 | CA | |
| Naturopath | 175F00000X | ND1333 | CA | Primary |
Addresses
Primary practice location
113 Waterworks Way Ste 155
Irvine, CA 92618-3163
Mailing address
113 Waterworks Way Ste 155
Irvine, CA 92618-3163
Phone (949) 612-9090
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 |
|---|---|---|---|
| 86016431 | CA | MD | Registered Dietitian |
| ND1333 | CA | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696723200000",
"number": "1225775612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 WATERWORKS WAY STE 155",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183163",
"telephone_number": "949-612-9090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 WATERWORKS WAY STE 155",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183163",
"telephone_number": "949-612-9090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARHAD",
"first_name": "KEYVAN",
"name_prefix": "Dr.",
"credential": "ND",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-17",
"last_updated": "2023-10-08",
"certification_date": "2023-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86016431",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "ND1333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.