Individual provider Active NPI

Farzin Kerendian, D.O.

  • Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1346388600
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
20A7647 Issued in CA
Practice address
2080 Century Park E Ste 607
Los Angeles, CA 90067-2009
Phone
(310) 274-4900
Fax
(310) 613-6137
NPI assigned
Feb 1, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 20A7647 CA
Surgery Physician 208600000X 20A7647 CA Primary

Addresses

Primary practice location

2080 Century Park E Ste 607
Los Angeles, CA 90067-2009

Mailing address

PO Box 10464
Beverly Hills, CA 90213-3464
Phone (310) 274-4900

Other practice location 1

2020 21st St
Bakersfield, CA 93301-4220
Phone (310) 274-4900

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
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A7647CAMDPlastic and Reconstructive Surgery Physician

Organizations & group practices 2

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1346388600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10464",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902133464",
            "telephone_number": "310-274-4900",
            "fax_number": "661-327-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 607",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672009",
            "telephone_number": "310-274-4900",
            "fax_number": "310-613-6137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 21st St",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933014220",
            "country_code": "US",
            "telephone_number": "310-274-4900",
            "fax_number": "661-327-4404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERENDIAN",
        "first_name": "FARZIN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "20A7647",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "20A7647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.