Organization Active NPI

Farshid Moossazadeh M D a Professional Corporation

  • Family Medicine Physician
  • Hawthorne, CA
National Provider Identifier
1629685730
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FARSHID MOOSSAZADEH M D A PROFESSIONAL CORPORATION
Practice address
11633 Hawthorne Blvd Ste 300
Hawthorne, CA 90250-2369
Phone
(310) 355-1950
Fax
(310) 355-1957
NPI assigned
Sep 23, 2020
Last updated
Feb 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Authorized official

Name
Dr. Farshid Moossazadeh, MDNPI 1134291032
Title
President
Phone
(310) 355-1950

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Obstetrics & Gynecology Physician 207V00000X NU

Addresses

Primary practice location

11633 Hawthorne Blvd Ste 300
Hawthorne, CA 90250-2369

Mailing address

11633 Hawthorne Blvd Ste 300
Hawthorne, CA 90250-2369
Phone (310) 355-1950

Other names 1

  • N/A Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200910002620 CA Part B Supplier - Clinic/Group Practice 3173941994 Receives reassigned benefits from 1 practitioner
Practice locations: Hawthorne, CA

National Provider Directory

National Provider Directory

Locations

11633 Hawthorne Blvd
Ste 300
Hawthorne, CA 90250
Phone (310) 355-1950

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1629685730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11633 HAWTHORNE BLVD STE 300",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502369",
            "telephone_number": "310-355-1950",
            "fax_number": "310-355-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11633 HAWTHORNE BLVD STE 300",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502369",
            "telephone_number": "310-355-1950",
            "fax_number": "310-355-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARSHID MOOSSAZADEH M D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "MOOSSAZADEH",
        "authorized_official_first_name": "FARSHID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-355-1950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hawthorne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.