Individual provider Active NPI

Farsheed Nikbakht, M.D.

  • Emergency Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1487695433
Registry record updated Oct 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A48514 Issued in CA
Practice address
1521 Greenfield Ave
Apt. # 304
Los Angeles, CA 90025-3422
Phone
(310) 435-2864
NPI assigned
Jun 9, 2006
Last updated
Oct 30, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A48514 CA Primary

Addresses

Primary practice location

1521 Greenfield Ave
Apt. # 304
Los Angeles, CA 90025-3422

Mailing address

1521 Greenfield Ave
Apt. # 304
Los Angeles, CA 90025-3422
Phone (310) 435-2864

Other identifiers 1

IdentifierTypeStateIssuer
00A485140MedicaidCA

Other names 1

  • Dr. Khodabakhsh Nikbakht Former name

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041006000434 CA Practitioner - Emergency MedicinePractitioner - Family Practice 7416916432 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health PartnersGroup PAC ID 1759564396, 20 clinicians
Erx Plus Professional CorporationGroup PAC ID 0345685889, 5 clinicians

Practice addresses (Care Compare)

5189 Hospital Rd
Mariposa, CA 95338-9524
Phone (209) 966-3631

9449 San Fernando Rd
Sun Valley, CA 91352-1421
Phone (866) 247-3141

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A48514CAMDEmergency Medicine Physician
A45814CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Erx Plus Professional Corporation Emergency Medicine CurrentSince Jan 9, 2024 Accepting new patients
Team Physicians of California Medical Group Inc Emergency Medicine CurrentSince Feb 10, 2025 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Cep America-California Emergency Medicine CurrentSince Dec 1, 2015 Accepting new patients
Premier Health Partners Emergency Medicine CurrentSince Sep 29, 2025 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Dec 1, 2015 Accepting new patients
Centennial Emergency Physicians Medical Group Inc Emergency Medicine Past Accepting new patients
Erx Plus Professional Corporation Emergency Medicine Past Accepting new patients
Foothill Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

1025 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 533-6220

250 N 1st St
Blythe, CA 92225
Phone (760) 321-5123

12601 Garden Grove Blvd
Garden Grove, CA 92843
Phone (714) 537-5160

5189 Hospital Rd
Mariposa, CA 95338
Phone (209) 966-3631

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

9449 San Fernando Rd
Sun Valley, CA 91352
Phone (818) 252-2184

Organizations & group practices 9

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 1

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256860800000",
    "number": "1487695433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 GREENFIELD AVE",
            "address_2": "APT. # 304",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253422",
            "telephone_number": "310-435-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 GREENFIELD AVE",
            "address_2": "APT. # 304",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253422",
            "telephone_number": "310-435-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKBAKHT",
        "first_name": "FARSHEED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2009-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A48514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A485140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHODABAKHSH",
            "last_name": "NIKBAKHT",
            "prefix": "DR.",
            "credential": "M.D.,BCEM ,FAAFP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.