Farideh Farid, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5554 Issued in CA

Practice address

5650 Reseda Blvd
Tarzana, CA 91356-2230

NPI assigned

May 21, 2019

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1356908842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 RESEDA BLVD",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562230",
            "telephone_number": "818-881-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 RESEDA BLVD",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5650 Reseda Blvd",
            "address_purpose": "LOCATION",
            "city": "Tarzana",
            "state": "CA",
            "postal_code": "91356",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARID",
        "first_name": "FARIDEH",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "5554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Fanno, CMT
• Fara Salehi DDS a Professional Corporation
• Olesia Farberov, L.AC
• Mona Fard, B.S. DENTAL HYGIENIS
• Fardin Hakakian DPM Inc
• Daniel Farnad
• Tania Farshi, D.D.S
• Shiva Kiaee Farzan
• Stephanie Favela
• Lili Fayazi, DR

• Physical Therapy Assistant in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.