Organization Active NPI

Birdjandi MD.Inc

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1588918544
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A89932 Issued in CA
Legal business name
BIRDJANDI MD.INC
Practice address
5313 Renaissance Ave
#2
San Diego, CA 92122-5634
Phone
(203) 461-1963
NPI assigned
Oct 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Authorized official

Name
Farschad Birdjandi
Title
MD
Phone
(203) 461-1962

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A89932 CA Primary
Nuclear Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207UN0901X A89932 CA

Addresses

Primary practice location

5313 Renaissance Ave
#2
San Diego, CA 92122-5634

Mailing address

5313 Renaissance Ave
#2
San Diego, CA 92122-5634

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1588918544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5313 RENAISSANCE AVE",
            "address_2": "#2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921225634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5313 RENAISSANCE AVE",
            "address_2": "#2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921225634",
            "telephone_number": "203-461-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRDJANDI MD.INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "BIRDJANDI",
        "authorized_official_first_name": "FARSCHAD",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "203-461-1962"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A89932",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "CA",
            "license": "A89932",
            "primary": false
        }
    ],
    "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 30, 2012; 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.