Organization Active NPI

Farhouch Berdjis, M.D., Medical Corporation

  • Pediatric Cardiology Physician
  • Orange, CA
National Provider Identifier
1477636843
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
A43840 Issued in CA
Legal business name
FARHOUCH BERDJIS, M.D., MEDICAL CORPORATION
Practice address
1120 W la Veta Ave
Suite 100
Orange, CA 92868-4231
Phone
(714) 549-0900
NPI assigned
Oct 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Farhouch Berdjis, M.D.NPI 1699740555
Title
Owner
Phone
(714) 549-0900

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
Pediatric Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0202X A43840 CA Primary

Addresses

Primary practice location

1120 W la Veta Ave
Suite 100
Orange, CA 92868-4231

Mailing address

1120 W la Veta Ave
Suite 100
Orange, CA 92868-4231
Phone (714) 549-0900

National Provider Directory

National Provider Directory

Locations

30195 Fraser Dr
Lake Elsinore, CA 92530
Phone (844) 308-5003

26691 Plaza
Ste 120
Mission Viejo, CA 92691
Phone (714) 712-9500

23052H Alicia Pkwy
Mission Viejo, CA 92692

1120 W La Veta Ave
Ste 100
Orange, CA 92868
Phone (714) 289-4704

1010 W La Veta Ave
Ste 575
Orange, CA 92868
Phone (734) 904-7709

Practitioners & affiliated clinicians

Practitioners 1

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": "1161475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477636843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W LA VETA AVE",
            "address_2": "SUITE 100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684231",
            "telephone_number": "714-549-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W LA VETA AVE",
            "address_2": "SUITE 100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684231",
            "telephone_number": "714-549-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARHOUCH BERDJIS, M.D., MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERDJIS",
        "authorized_official_first_name": "FARHOUCH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-549-0900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "A43840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.