Organization Active NPI

Mutahir Farhan Medical Corporation

  • Addiction Medicine (Internal Medicine) Physician
  • Corona, CA
National Provider Identifier
1245055151
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
Legal business name
MUTAHIR FARHAN MEDICAL CORPORATION
Practice address
284 Dupont St Ste 130
Corona, CA 92879-6029
Phone
(951) 497-3749
Fax
(954) 405-8701
NPI assigned
Nov 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Authorized official

Name
Mr. John Darius
Title
Billing Manager
Phone
(424) 728-7877

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Addiction Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0401X Primary

Addresses

Primary practice location

284 Dupont St Ste 130
Corona, CA 92879-6029

Mailing address

20810 Bakal Dr
Riverside, CA 92508-2983
Phone (951) 497-3749

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1245055151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20810 BAKAL DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925082983",
            "telephone_number": "951-497-3749",
            "fax_number": "954-405-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 DUPONT ST STE 130",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928796029",
            "telephone_number": "951-497-3749",
            "fax_number": "954-405-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUTAHIR FARHAN MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "DARIUS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "424-728-7877",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.