Individual provider Active NPI

Farzad Farhat

  • Dentist
  • Huntington Beach, CA
National Provider Identifier
1265821128
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
37415 Issued in CA
Practice address
18141 Beach Blvd
Ste 140
Huntington Beach, CA 92648-5696
Phone
(714) 877-0177
NPI assigned
Jan 15, 2015
Last updated
Feb 5, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 37415 CA Primary

Addresses

Primary practice location

18141 Beach Blvd
Ste 140
Huntington Beach, CA 92648-5696

Mailing address

18141 Beach Blvd
Ste 140
Huntington Beach, CA 92648-5696
Phone (714) 877-0177

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150219000696 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1850616608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37415CAMDChiropractor

Interoperability endpoints

  • Direct secure messaging: farzad.farhat.p1@direct.careclinic.nextgenshare.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1265821128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18141 BEACH BLVD",
            "address_2": "STE 140",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485696",
            "telephone_number": "714-877-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18141 BEACH BLVD",
            "address_2": "STE 140",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485696",
            "telephone_number": "714-877-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARHAT",
        "first_name": "FARZAD",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "37415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.