Organization Active NPI

Farhad Melamed M D a Medical Corporation

  • Internal Medicine Physician
  • Beverly Hills, CA
National Provider Identifier
1437332954
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A054672 Issued in CA
Legal business name
FARHAD MELAMED M D A MEDICAL CORPORATION
Practice address
150 N Robertson Blvd Ste 115
Beverly Hills, CA 90211-2121
Phone
(310) 657-8585
Fax
(310) 657-8484
NPI assigned
Dec 6, 2007
Last updated
Jul 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Authorized official

Name
Dr. Farhad Melamed, M.D.NPI 1134150444
Title
Owner
Phone
(310) 657-8585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A054672 CA Primary

Addresses

Primary practice location

150 N Robertson Blvd Ste 115
Beverly Hills, CA 90211-2121

Mailing address

150 N Robertson Blvd Ste 115
Beverly Hills, CA 90211-2121
Phone (310) 657-8585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060308000781 CA Part B Supplier - Clinic/Group Practice 1759398209 Receives reassigned benefits from 5 practitioners
Practice locations: Beverly Hills, CA

National Provider Directory

National Provider Directory
Tax ID family
Farhad Joseph Melamed MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1437332954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N ROBERTSON BLVD STE 115",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112121",
            "telephone_number": "310-657-8585",
            "fax_number": "310-657-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N ROBERTSON BLVD STE 115",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112121",
            "telephone_number": "310-657-8585",
            "fax_number": "310-657-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARHAD MELAMED M D A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "MELAMED",
        "authorized_official_first_name": "FARHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-657-8585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A054672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.