Individual provider Active NPI

Elaheh Ellie Farshidi, MD

  • Internal Medicine Physician
  • Anaheim, CA
National Provider Identifier
1245277789
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1659312593 Issued in CA
Practice address
925 S Euclid St
Anaheim, CA 92802-1522
Phone
(714) 995-1000
NPI assigned
Jun 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1659312593 CA Primary

Addresses

Primary practice location

925 S Euclid St
Anaheim, CA 92802-1522

Mailing address

PO Box 7277
Newport Beach, CA 92658-7277
Phone (714) 337-4780

Other identifiers 1

IdentifierTypeStateIssuer
00A498010MedicaidCA

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
I20101123001098 CA Practitioner - General Practice 4587753058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1659312593CAMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: elaheh.farshidi.p30@direct.monarchhealthcare.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1245277789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7277",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926587277",
            "telephone_number": "714-337-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 S EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928021522",
            "telephone_number": "714-995-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARSHIDI",
        "first_name": "ELAHEH",
        "middle_name": "ELLIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2023-05-11",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "1659312593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A498010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.