Farzin Benjamin Pedouim MD Inc a Professional Medical Corporation

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

FARZIN BENJAMIN PEDOUIM MD INC A PROFESSIONAL MEDICAL CORPORATION

Doing business as

Farzin Benjamin Pedouim, M.D., Inc.

Practice address

18377 Beach Blvd Ste 330
Huntington Beach, CA 92648-1350

Phone

(844) 638-7637

Fax

(310) 526-8770

NPI assigned

Sep 6, 2017

Organization subpart

No

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

Authorized official

Name

Farzin B Pedouim, MDNPI 1649567165

Title

President

Phone

(844) 638-7637

Specialties & licenses 1

Addresses

Other names 1

• Farzin Benjamin Pedouim, M.D., Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Farzin Benjamin Pedouim, M.D.

  • Neurology Physician
  • Huntington Beach, CA
  • NPI 1649567165
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1487172805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18377 BEACH BLVD STE 330",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481350",
            "telephone_number": "844-638-7637",
            "fax_number": "310-526-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18377 BEACH BLVD STE 330",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481350",
            "telephone_number": "844-638-7637",
            "fax_number": "310-526-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARZIN BENJAMIN PEDOUIM MD INC A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "PEDOUIM",
        "authorized_official_first_name": "FARZIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "844-638-7637",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farzin Benjamin Pedouim, M.D., Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Farzin Benjamin Pedouim, M.D., Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Lynn Farrell, MS CCC-SLP
• Patrick LR Farrell, M.D.
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• Farangis Farsio
• Farzad Farhat, DDS, Inc
• Favian Cheong, DDS Inc.
• Mitchell Favis
• Elaine M Favor, PT
• Gary Fayard
• FDL Synergy Inc

• Neurology Physician in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.