Individual provider Active NPI

Farid Besharat, M.D.

  • Pulmonary Disease Physician
  • Los Angeles, CA
National Provider Identifier
1366548620
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A49504 Issued in CA
Practice address
1400 S Grand Ave
Ste 815
Los Angeles, CA 90015-3068
Phone
(310) 914-9150
Fax
(310) 914-9705
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X A49504 CA Primary

Addresses

Primary practice location

1400 S Grand Ave
Ste 815
Los Angeles, CA 90015-3068

Mailing address

1400 S Grand Ave
Ste 815
Los Angeles, CA 90015-3068
Phone (310) 914-9150

Other identifiers 1

IdentifierTypeStateIssuer
00A495041MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100507000294 CA Practitioner - Pulmonary DiseasePractitioner - Geriatric MedicinePractitioner - Internal Medicine 1254403645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1400 S Grand Ave
Suite 815
Los Angeles, CA 90015-3068
Phone (310) 914-9150

Hospital & facility affiliations

  • L a Downtown Medical Center Hospital, Los Angeles, CA, CCN 050763
  • Los Angeles Community Hospital Hospital, Los Angeles, CA, CCN 050663
  • Memorial Hospital of Gardena Hospital, Gardena, CA, CCN 050468
  • Southern California Hospital at Hollywood Hospital, Hollywood, CA, CCN 050135

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A49504CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Farid Besharat MD Inc Pulmonary Disease CurrentSince Jan 1, 2019 Accepting new patients
Criticalcare Specialist Inc. Pulmonary Disease Past Accepting new patients
Hasan Badday MD PC PastSince Jan 1, 2019 Accepting new patients
West Covina Medical Center, Inc. PastSince Mar 15, 2022 Accepting new patients

Locations

1400 S Grand Ave
Ste 815
Los Angeles, CA 90015
Phone (213) 394-6763

20911 Earl St
Ste 180
Torrance, CA 90503
Phone (310) 370-4660

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
N/aWest Covina, CA, CCN 555649 Skilled nursing facility Corporate Director
Operational/Managerial Control
Adp of the SNF
Mar 15, 2022
Mar 1, 2019
Mar 1, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1366548620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S GRAND AVE",
            "address_2": "STE 815",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153068",
            "telephone_number": "310-914-9150",
            "fax_number": "310-914-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S GRAND AVE",
            "address_2": "STE 815",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153068",
            "telephone_number": "310-914-9150",
            "fax_number": "310-914-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESHARAT",
        "first_name": "FARID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A49504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A495041",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.