Organization Active NPI

Shahriar Farzad M.D., a Medical Corporation

  • Ophthalmology Physician
  • Beverly Hills, CA
National Provider Identifier
1508816158
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SHAHRIAR FARZAD M.D., A MEDICAL CORPORATION
Practice address
150 N. Robertson Blvd.
Suite #316
Beverly Hills, CA 90211-2145
Phone
(310) 247-8282
Fax
(310) 247-1418
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Authorized official

Name
Pari Farzad
Title
Office Manager
Phone
(310) 247-8282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

150 N. Robertson Blvd.
Suite #316
Beverly Hills, CA 90211-2145

Mailing address

150 N. Robertson Blvd.
Suite #316
Beverly Hills, CA 90211-2145
Phone (310) 247-8282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120405000218 CA Part B Supplier - Clinic/Group Practice 8123030350 Receives reassigned benefits from 2 practitioners
Practice locations: Beverly Hills, CA

National Provider Directory

National Provider Directory

Locations

150 N Robertson Blvd
Ste 316
Beverly Hills, CA 90211
Phone (310) 247-8282

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1508816158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N. ROBERTSON BLVD.",
            "address_2": "SUITE #316",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112145",
            "telephone_number": "310-247-8282",
            "fax_number": "310-247-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N. ROBERTSON BLVD.",
            "address_2": "SUITE #316",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112145",
            "telephone_number": "310-247-8282",
            "fax_number": "310-247-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHRIAR FARZAD M.D., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "FARZAD",
        "authorized_official_first_name": "PARI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-247-8282"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.