Active NPI
Steve Farzam, JD
- Clinical Medical Laboratory
- Santa Monica, CA
National Provider Identifier
1316603483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 05D2214309
- 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, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 05D2214309 | CA | MD | Clinical Medical Laboratory |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 911Covidtesting Inc | Clinical Medical Laboratory | Past | 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.
-
- General Practice Physician
- Santa Monica, CA
- NPI 1801522206
-
- Clinic/Center
- Santa Monica, CA
- NPI 1073210621
-
- Clinical Medical Laboratory
- Santa Monica, CA
- NPI 1952067027
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.