Active NPI
Farzin Benjamin Pedouim, M.D.
- Neurology Physician
- Huntington Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A122634
- Practice address
- 18377 Beach Blvd Ste 330
Huntington Beach, CA 92648 - Phone
- (949) 239-4410
- Fax
- (949) 229-6795
- NPI assigned
- Jul 5, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A122634 | CA | Primary |
Addresses
Primary practice location
18377 Beach Blvd Ste 330
Huntington Beach, CA 92648
Mailing address
18377 Beach Blvd Ste 330
Huntington Beach, CA 92648-1350
Phone (949) 239-4410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Kern Valley Healthcare District
Practice addresses (Care Compare)
11234 Anderson St
Loma Linda, CA 92354-2804
11370 Anderson St
Loma Linda, CA 92354-3450
2080 Century Park E
Suite 1403
Los Angeles, CA 90067-2017
Phone (844) 638-7637
File Number
Suite 54701
Los Angeles, CA 90074-4701
PO Box
Suite 1628
Lake Isabella, CA 93240
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.87 of 100
- Quality
- 72.13
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 77.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122634 | CA | MD | Clinical Social Worker |
| A122634 | CA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology and Cognitive Neuroscience Institute, Inc. | Neurology | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Orange Coast Memorial Medical Center | Past | Accepting new patients | |
| H Squared Health | Past | Accepting new patients | |
| Physicians' Hospital of Murrieta, LLC | Past | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Past | Accepting new patients | |
| Huy T Ho MD, Inc | Past | Accepting new patients | |
| Northern California Rehabilitation Hospital, LLC | Past | Accepting new patients | |
| Loma Linda University Children's Hospital | Past | Accepting new patients | |
| Orange County Global Medical Center, Inc | Past | Accepting new patients | |
| Loma Linda University Medical Center | Past | Accepting new patients |
Locations
18377 Beach Blvd
Ste 330
Huntington Beach, CA 92648
Phone (844) 638-7637
25745 Barton Rd
Loma Linda, CA 92354
Phone (909) 567-2527
11370 Anderson St
Ste B100
Loma Linda, CA 92354
Phone (909) 558-2848
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617
2080 Century Park E
Ste 1403
Los Angeles, CA 90067
Phone (844) 638-7637
8631 W 3rd St
Ste 1030
Los Angeles, CA 90048
Phone (310) 341-7886
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
28078 Baxter Rd
Murrieta, CA 92563
Phone (760) 533-4541
359 San Miguel Dr
Ste 105
Newport Beach, CA 92660
Phone (909) 558-2880
1401 N Palm Canyon Dr
Ste 103
Palm Springs, CA 92262
Phone (760) 320-3538
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- fpedouim77413@direct.llu.edu
Organizations & group practices 14
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- Neurology Physician
- Los Angeles, CA
- NPI 1801449392
-
dba Farzin Benjamin Pedouim, M.D., Inc.
- Neurology Physician
- Huntington Beach, CA
- NPI 1487172805
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
-
- Neurological Surgery Physician
- Murrieta, CA
- NPI 1912004920
-
- Orthopaedic Surgery Physician
- Loma Linda, CA
- NPI 1275582918
-
dba Health Quest Community Care
- Internal Medicine Physician
- La Mesa, CA
- NPI 1982210183
-
- Children's Hospital
- Loma Linda, CA
- NPI 1366866345
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
-
- Skilled Nursing Facility
- Redding, CA
- NPI 1770524928
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
-
- General Acute Care Hospital
- Redlands, CA
- NPI 1043354111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1649567165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18377 BEACH BLVD STE 330",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926481350",
"telephone_number": "949-239-4410",
"fax_number": "949-229-6795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18377 BEACH BLVD STE 330",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "92648",
"telephone_number": "949-239-4410",
"fax_number": "949-229-6795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDOUIM",
"first_name": "FARZIN",
"middle_name": "BENJAMIN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-05",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A122634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.