NPIMap

Organization Active NPI

Farschad Birdjandi MD Inc

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1558844019
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FARSCHAD BIRDJANDI MD INC
Practice address
6655 Alvarado Rd
San Diego, CA 92120-5208
Phone
(619) 287-3270
NPI assigned
Sep 11, 2018
Last updated
Oct 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Farschad BirdjandiNPI 1205823929
Title
MD
Phone
(858) 246-6214

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

6655 Alvarado Rd
San Diego, CA 92120-5208

Mailing address

5412 Thunderbird LN
La Jolla, CA 92037-7056
Phone (858) 246-6214

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181208000197 CA Part B Supplier - Clinic/Group Practice 1052655628 Receives reassigned benefits from 13 practitioners
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

4033 6th Ave
San Diego, CA 92103
Phone (619) 287-3270

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1558844019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5412 THUNDERBIRD LN",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920377056",
            "telephone_number": "858-246-6214",
            "fax_number": "858-246-6214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 ALVARADO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205208",
            "telephone_number": "619-287-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARSCHAD BIRDJANDI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-11",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "BIRDJANDI",
        "authorized_official_first_name": "FARSCHAD",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "858-246-6214"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.