Individual provider Active NPI

Farshid Yadegar, PH.D.

  • Clinical Psychologist
  • Wasco, CA
National Provider Identifier
1447774534
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSYCH22681 Issued in CA
Practice address
701 Scofield Ave
Wasco, CA 93280-7515
Phone
(661) 758-8400
NPI assigned
Jul 31, 2017
Last updated
Apr 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSYCH22681 CA Primary

Addresses

Primary practice location

701 Scofield Ave
Wasco, CA 93280-7515

Mailing address

10811 Laramie Peak Dr
Bakersfield, CA 93311-9118
Phone (310) 488-7579

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181226000739 CA Practitioner - Clinical Psychologist 8628312352 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orange Coast Psychological Associates PCGroup PAC ID 7810120599, 7 clinicians

Practice addresses (Care Compare)

10061 Talbert Ave
Suite 200
Fountain Valley, CA 92708-5123
Phone (714) 965-3622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSYCH22681CAMDClinical Psychologist
22681CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Department of State Hospitals CurrentSince Jan 30, 2019 Accepting new patients
Department of State Hospitals CurrentSince Jan 30, 2019 Accepting new patients
Los Angeles LGBT Center CurrentSince Jun 5, 2023 Accepting new patients
Los Angeles LGBT Center CurrentSince Jun 5, 2023 Accepting new patients
Orange Coast Psychological Associates, P.C. CurrentSince Jun 22, 2022 Accepting new patients

Locations

10061 Talbert Ave
Ste 200
Fountain Vly, CA 92708
Phone (714) 594-9477

1625 Schrader Blvd
Los Angeles, CA 90028
Phone (323) 993-7400

1625 Schrader Blvd
Fl 3
Los Angeles, CA 90028
Phone (323) 993-7400

1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805

1600 9th St
Ste 150
Sacramento, CA 95814
Phone (916) 651-8811

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1447774534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10811 LARAMIE PEAK DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119118",
            "telephone_number": "310-488-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SCOFIELD AVE",
            "city": "WASCO",
            "state": "CA",
            "postal_code": "932807515",
            "telephone_number": "661-758-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YADEGAR",
        "first_name": "FARSHID",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-31",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSYCH22681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasco, CA

Sources for this page

Verify at the official NPI Registry.