Active NPI
Mutahir Farhan Medical Corporation
- Addiction Medicine (Internal Medicine) Physician
- Corona, CA
National Provider Identifier
1245055151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Addiction Medicine (Internal Medicine) Physician | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction Medicine (Internal Medicine) Physician
- Corona, CA
- NPI 1033856661
-
- Psychiatry Physician
- Corona, CA
- NPI 1356721120
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.