Individual provider Active NPI

Arash Farahanchi, DO

  • Internal Medicine Physician
  • Fullerton, CA
National Provider Identifier
1497829972
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A9462 Issued in CA
Practice address
2251 N Harbor Blvd
Fullerton, CA 92835-2601
Phone
(714) 449-6230
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A9462 CA
Internal Medicine Physician 207R00000X 20A9462 CA Primary

Addresses

Primary practice location

2251 N Harbor Blvd
Fullerton, CA 92835-2601

Mailing address

2251 N Harbor Blvd
Fullerton, CA 92835-2601
Phone (714) 449-6230

Other practice location 1

2501 E Chapman Ave
Orange, CA 92869-3204
Phone (714) 633-1011

Other identifiers 1

IdentifierTypeStateIssuer
00AX94620MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address afarahanchi1374329@oc.providencedirect.org

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
I20070125000203 CA Practitioner - Internal Medicine 8729089263 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Western University of Health Sciences College of Dental Med, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians

Practice addresses (Care Compare)

100 E Valencia Mesa Dr
Suite 105
Fullerton, CA 92835-3816
Phone (714) 871-3006

15733 Whittier Blvd
Whittier, CA 90603-2312
Phone (562) 947-7754

15855 Pomona Rincon Rd
BLDG 4
Chino Hills, CA 91709-3162
Phone (909) 929-2511

19333 Bear Valley Rd
Apple Valley, CA 92308-5149

1950 Sunny Crest Dr
Suite 2900
Fullerton, CA 92835-3641
Phone (714) 992-5350

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians CurrentSince Oct 10, 2022 Accepting new patients
Providence Medical Foundation CurrentSince Aug 1, 2007 Accepting new patients
Pih Health Physicians Family Medicine CurrentSince Oct 10, 2022 Accepting new patients
Providence Medical Foundation Family Medicine Current Accepting new patients
Providence Medical Foundation Current Accepting new patients
Pih Health Physicians Family Medicine Current Accepting new patients
Providence Medical Foundation Family Medicine CurrentSince Aug 1, 2007 Accepting new patients
Bright Medical Associates, Inc. Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

19333 Bear Valley Rd
Ste 106
Apple Valley, CA 92308
Phone (760) 240-5505

1514 Valley Vista Dr
Diamond Bar, CA 91765
Phone (909) 560-1144

12214 Lakewood Blvd
Ste 110
Downey, CA 90242
Phone (562) 862-2775

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

2251 N Harbor Blvd
Fullerton, CA 92835
Phone (714) 449-6230

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

1850 S Azusa Ave
Ste 88
Hacienda Heights, CA 91745
Phone (626) 964-3040

1400 S Harbor Blvd
La Habra, CA 90631
Phone (714) 879-3400

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

2201 W Beverly Blvd
Montebello, CA 90640
Phone (323) 728-0321

2501 E Chapman Ave
Orange, CA 92869
Phone (714) 628-3300

12400 Bloomfield Ave
Santa Fe Springs, CA 90670
Phone (562) 789-5434

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

15733 Whittier Blvd
Whittier, CA 90603
Phone (562) 947-7754

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1497829972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 N HARBOR BLVD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352601",
            "telephone_number": "714-449-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 N HARBOR BLVD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352601",
            "telephone_number": "714-449-6230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 E Chapman Ave",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928693204",
            "country_code": "US",
            "telephone_number": "714-633-1011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARAHANCHI",
        "first_name": "ARASH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A9462",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A9462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX94620",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "afarahanchi1374329@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "2251 N Harbor Blvd",
            "city": "Fullerton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928352601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.