Individual provider Active NPI

Steve Farzam, JD

  • Clinical Medical Laboratory
  • Santa Monica, CA
National Provider Identifier
1316603483
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
05D2214309 Issued in CA
Practice address
701 Santa Monica Blvd Ste 300
Santa Monica, CA 90401-2624
Phone
(888) 878-9111
NPI assigned
Nov 12, 2021
Last updated
Jul 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 05D2214309 CA Primary

Addresses

Primary practice location

701 Santa Monica Blvd Ste 300
Santa Monica, CA 90401-2624

Mailing address

701 Santa Monica Blvd Ste 300
Santa Monica, CA 90401-2624
Phone (888) 878-9111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Juris Doctor

State licenses

LicenseStateTypeSpecialty
05D2214309CAMDClinical Medical Laboratory

Practice roles

OrganizationSpecialtyStatusNew patients
911Covidtesting Inc Clinical Medical Laboratory PastSince Nov 1, 2021 Accepting new patients

Organizations & group practices 4

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": "1636675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1316603483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SANTA MONICA BLVD STE 300",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012624",
            "telephone_number": "888-878-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SANTA MONICA BLVD STE 300",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012624",
            "telephone_number": "888-878-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARZAM",
        "first_name": "STEVE",
        "credential": "JD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-12",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D2214309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.