Farid Moshirbahram, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA14402 Issued in CA

Practice address

2200 W 3Rd St
#120
Los Angeles, CA 90057-1932

Phone

(213) 484-7600

Fax

(213) 484-7566

NPI assigned

Aug 30, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188432000000",
    "number": "1346434529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 W 3RD ST",
            "address_2": "#120",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900571932",
            "telephone_number": "213-484-7600",
            "fax_number": "213-484-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W 3RD ST",
            "address_2": "#120",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900571932",
            "telephone_number": "213-484-7600",
            "fax_number": "213-484-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHIRBAHRAM",
        "first_name": "FARID",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA14402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anahita Moshfegh, AU.D.
• Moussa Moshfegh, M.D.
• Pauline Moshfegh, D.D.S.
• Andrew Akbar Moshfeghi, MD
• Arlanna N Moshfeghi, MD
• Charles Michael Moshontz, M.F.T.
• Farshid Moshrefi, PH.D.
• Ryan Moshtael
• Gina Mosich
• Liana Moskalensky

• Surgical Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.