Individual provider Active NPI

Kamand Fararooy, PA-C

  • Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1598130288
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
53096 Issued in CA
Practice address
1006 Chantilly Rd
Los Angeles, CA 90077-2618
Phone
(213) 400-5700
NPI assigned
Dec 7, 2015
Last updated
Jan 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 53096 CA Primary

Addresses

Primary practice location

1006 Chantilly Rd
Los Angeles, CA 90077-2618

Mailing address

1006 Chantilly Rd
Los Angeles, CA 90077-2618
Phone (213) 400-5700

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1598130288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 CHANTILLY RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900772618",
            "telephone_number": "213-400-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 CHANTILLY RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900772618",
            "telephone_number": "213-400-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAROOY",
        "first_name": "KAMAND",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-07",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "53096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.