Active NPI
Khashayar Farhadi Langroudi
- Clinical Psychologist
- San Francisco, CA
National Provider Identifier
1518399138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 30038
- Practice address
- 4141 Geary Blvd FL 3
San Francisco, CA 94118 - Phone
- (415) 833-2292
- NPI assigned
- Aug 6, 2013
- Last updated
- Aug 14, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 30038 | CA | Primary |
Addresses
Primary practice location
4141 Geary Blvd FL 3
San Francisco, CA 94118
Mailing address
4141 Geary Blvd FL 3
San Francisco, CA 94118-3111
Phone (415) 833-2292
Other practice location 1
2712 Telegraph Ave
Berkeley, CA 94705-1117
Phone (516) 404-9879
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534204800000",
"number": "1518399138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4141 GEARY BLVD FL 3",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941183111",
"telephone_number": "415-833-2292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4141 GEARY BLVD FL 3",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94118",
"telephone_number": "415-833-2292"
}
],
"practiceLocations": [
{
"address_1": "2712 Telegraph Ave",
"address_purpose": "LOCATION",
"city": "Berkeley",
"state": "CA",
"postal_code": "947051117",
"country_code": "US",
"telephone_number": "516-404-9879",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARHADI LANGROUDI",
"first_name": "KHASHAYAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-06",
"last_updated": "2018-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "30038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.