Farshad Farzam

Primary specialty

DentistTaxonomy code 122300000X

License

54141 Issued in CA

Practice address

1575 E Florence Ave Ste a
Los Angeles, CA 90001-2555

Phone

(323) 537-4121

Fax

(323) 537-4529

NPI assigned

May 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Farshad Farzam DDS Inc

  • Dentist
  • Los Angeles, CA
  • NPI 1427431964
  NPD (past) Authorized official

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1265653141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 E FLORENCE AVE STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900012555",
            "telephone_number": "323-537-4121",
            "fax_number": "323-537-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 E FLORENCE AVE STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900012555",
            "telephone_number": "323-537-4121",
            "fax_number": "323-537-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARZAM",
        "first_name": "FARSHAD",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "54141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farwest Dental Group
• Pedram Farzadfar, PHARM.D
• Pouya Farzadfar, PHARM.D.
• Farzadkohanbash Inc. Dba Uniteddentaloffice
• Afshin Farzadmehr
• Michael Daniel Farzam, M.D.
• Youram Farzam
• Ariella Farzan-Roth, MD
• Dina Farzan, MPAP, PA-C
• Matthew Farzan, DDS

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.