Individual provider Active NPI

Farid Didari

  • Foot & Ankle Surgery Podiatrist
  • Chino, CA
National Provider Identifier
1477944114
Registry record updated Jan 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
EL1977 Issued in CA
Practice address
5451 Walnut Ave
Chino, CA 91710-2609
Phone
(909) 464-8600
NPI assigned
Feb 17, 2015
Last updated
Jan 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X EL1977 CA Primary

Addresses

Primary practice location

5451 Walnut Ave
Chino, CA 91710-2609

Mailing address

1141 W Redondo Beach Blvd
Ste 302
Gardena, CA 90247-3583
Phone (310) 515-8155

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160125001965 CA Practitioner - Podiatry 4981907920 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Western University of Health Sciences College of Dental Med, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tarzana Foot and Ankle Center IncGroup PAC ID 4688088586, 7 clinicians
Empire Foot and Ankle Center IncGroup PAC ID 1254617244, 9 clinicians
Foot and Ankle Care Team IncGroup PAC ID 6901145309, 5 clinicians

Practice addresses (Care Compare)

18607 Ventura Blvd
Suite 202
Tarzana, CA 91356-4174
Phone (818) 650-0004

299 W Foothill Blvd
Suite 124
Upland, CA 91786-3854
Phone (909) 946-6643

5365 Walnut Ave
Suite M
Chino, CA 91710-2622
Phone (909) 946-6643

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue72
Removal of nail tissue689
Removal or shaving of skin growth458
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
EL1977CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Hollywood Foot and Ankle Center Inc Foot & Ankle Surgery CurrentSince Mar 1, 2025 Accepting new patients
Tarzana Foot and Ankle Center Inc Foot & Ankle Surgery CurrentSince Jan 1, 2021 Accepting new patients
Rabin Beral DPM a Podiatry Corporation Foot & Ankle Surgery CurrentSince May 3, 2016 Accepting new patients
Empire Foot and Ankle Center Inc. Foot & Ankle Surgery CurrentSince Feb 5, 2017 Accepting new patients
Riverside Foot and Ankle Center Inc Foot & Ankle Surgery PastSince May 1, 2022 Accepting new patients
San Dimas Community Hospital, Inc. Past Accepting new patients
Prime Healthcare Services - Montclair, LLC Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Gardena Hospital LP Past Accepting new patients

Locations

5365 Walnut Ave
Ste M
Chino, CA 91710
Phone (909) 364-1088

5365 Walnut Ave
Ste P
Chino, CA 91710
Phone (909) 591-0843

1141 W Redondo Beach Blvd
Ste 206
Gardena, CA 90247
Phone (310) 329-4183

1141 W Redondo Beach Blvd
Ste 302
Gardena, CA 90247
Phone (310) 532-8124

1700 E Cesar E Chavez Ave
Ste 3300
Los Angeles, CA 90033
Phone (323) 264-2132

5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111

11631 Victory Blvd
Ste 104
North Hollywood, CA 91606
Phone (818) 570-0901

6216 Brockton Ave
Ste 211
Riverside, CA 92506
Phone (909) 772-4226

18607 Ventura Blvd
Ste 202
Tarzana, CA 91356
Phone (818) 650-0004

3521 Lomita Blvd
Ste 103
Torrance, CA 90505

299 W Foothill Blvd
Ste 124
Upland, CA 91786
Phone (909) 946-6643

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: casacolina@direct.casacolina.org

Organizations & group practices 11

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.

Hospital & facility affiliations 2

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": "1424131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452211200000",
    "number": "1477944114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 W REDONDO BEACH BLVD",
            "address_2": "STE 302",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473583",
            "telephone_number": "310-515-8155",
            "fax_number": "310-515-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5451 WALNUT AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102609",
            "telephone_number": "909-464-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIDARI",
        "first_name": "FARID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-17",
        "last_updated": "2016-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "EL1977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.