NPIMap

Individual provider Active NPI

Farid Azizollahi, MD

  • Family Medicine Physician
  • Beverly Hills, CA
National Provider Identifier
1649328519
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A83353 Issued in CA
Practice address
8920 Wilshire Blvd Ste 335
Beverly Hills, CA 90211-2002
Phone
(310) 421-8835
Fax
(310) 421-8435
NPI assigned
Jan 8, 2007
Last updated
Sep 21, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A83353 CA Primary

Addresses

Primary practice location

8920 Wilshire Blvd Ste 335
Beverly Hills, CA 90211-2002

Mailing address

8920 Wilshire Blvd Ste 335
Beverly Hills, CA 90211-2002
Phone (310) 421-8835

Other identifiers 1

IdentifierTypeStateIssuer
00A833530MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060317000484 CA Practitioner - Family Practice 2163439050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8920 Wilshire Blvd
Suite 335
Beverly Hills, CA 90211-2002
Phone (310) 421-8835

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Concierge Physicians Group a Professional Corporation Family Medicine CurrentSince Aug 15, 2012 Accepting new patients
Reliable Medical Associates Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

8920 Wilshire Blvd
Ste 335
Beverly Hills, CA 90211
Phone (310) 657-2178

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1649328519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8920 WILSHIRE BLVD STE 335",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112002",
            "telephone_number": "310-421-8835",
            "fax_number": "310-421-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8920 WILSHIRE BLVD STE 335",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112002",
            "telephone_number": "310-421-8835",
            "fax_number": "310-421-8435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIZOLLAHI",
        "first_name": "FARID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A83353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A833530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.