Individual provider Active NPI

Farzad Yaghouti, M.D.

  • Ophthalmology Physician
  • San Diego, CA
National Provider Identifier
1568633444
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G85172 Issued in CA
Practice address
6950 Friars Rd Ste 100
San Diego, CA 92108-5107
Phone
(619) 243-2444
Fax
(619) 243-2443
NPI assigned
Mar 18, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G85172 CA Primary

Addresses

Primary practice location

6950 Friars Rd Ste 100
San Diego, CA 92108-5107

Mailing address

6950 Friars Rd Ste 100
San Diego, CA 92108-5107
Phone (619) 243-2444

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G85172CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Global Laser Vision Medical Center Ophthalmology PastSince Jul 15, 2008 Accepting new patients

Organizations & group practices 1

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": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1568633444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 FRIARS RD STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921085107",
            "telephone_number": "619-243-2444",
            "fax_number": "619-243-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 FRIARS RD STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921085107",
            "telephone_number": "619-243-2444",
            "fax_number": "619-243-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAGHOUTI",
        "first_name": "FARZAD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G85172",
            "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 Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.