Individual provider Active NPI

Farridah Shafiee, D.O.

  • Internal Medicine Physician
  • Simi Valley, CA
National Provider Identifier
1538199765
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A9647 Issued in CA
Practice address
135 Macaw LN Ste 210
Simi Valley, CA 93065-3153
Phone
(805) 210-2424
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A9647 CA Primary
Internal Medicine Physician 207R00000X OS7827 FL

Addresses

Primary practice location

135 Macaw LN Ste 210
Simi Valley, CA 93065-3153

Mailing address

135 Macaw LN Ste 210
Simi Valley, CA 93065-3153
Phone (805) 210-2424

Other practice location 1

2655 1st St Ste 325
Simi Valley, CA 93065-1581
Phone (805) 206-2000

Other identifiers 2

IdentifierTypeStateIssuer
0020A96470MedicaidCA
256509900MedicaidFL

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
I20090716000239 CA Practitioner - Internal Medicine 0244213056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

135 Macaw LN
Suite 210
Simi Valley, CA 93065-3153
Phone (805) 210-2424

Hospital & facility affiliations

  • Access TLC Home Health Care Home health agency, San Fernando, CA, CCN 058366
  • Adventist Health Simi Valley Hospital, Simi Valley, CA, CCN 050236
  • Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A9647CAMDInternal Medicine Physician
OS7827FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Farridah Shafiee DO Inc Internal Medicine CurrentSince Feb 1, 2022 Accepting new patients
South Florida Multispecialty Associates LLC Internal Medicine Past Accepting new patients
Mount Sinai Medical Center of Florida, Inc Past Accepting new patients
Simi Valley Hospital and Health Care Services Past Accepting new patients
Providence Facey Medical Foundation Past Accepting new patients

Locations

135 Macaw Ln
Ste 210
Simi Valley, CA 93065
Phone (805) 210-2424

Interoperability endpoints

  • Direct secure messaging: farridah.shafiee.p7@direct.regal.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/25566/brand/1/csg/1/fhir/r4
  • Direct secure messaging: farridah.shafiee.1@25566.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1538199765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 MACAW LN STE 210",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653153",
            "telephone_number": "805-210-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 MACAW LN STE 210",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653153",
            "telephone_number": "805-210-2424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2655 1st St Ste 325",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930651581",
            "country_code": "US",
            "telephone_number": "805-206-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFIEE",
        "first_name": "FARRIDAH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A9647",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS7827",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0020A96470",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256509900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.