Organization Active NPI

Arta Farshidi, MD, Inc

  • Dermatology Physician
  • Newport Beach, CA
National Provider Identifier
1659631851
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
ARTA FARSHIDI, MD, INC
Practice address
351 Hospital Rd
Suite 209
Newport Beach, CA 92663-3509
Phone
(949) 646-3333
NPI assigned
May 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Authorized official

Name
Arta FarshidiNPI 1942491436
Title
Ceo
Phone
(949) 646-3333

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

351 Hospital Rd
Suite 209
Newport Beach, CA 92663-3509

Mailing address

351 Hospital Rd Ste 209
Newport Beach, CA 92663-3504

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121217000250 CA Part B Supplier - Clinic/Group Practice 1759533953 Receives reassigned benefits from 2 practitioners
Practice locations: Newport Beach, CA

National Provider Directory

National Provider Directory

Locations

360 San Miguel Dr
Ste 405
Newport Beach, CA 92660
Phone (949) 646-3333

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1659631851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 HOSPITAL RD STE 209",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 HOSPITAL RD",
            "address_2": "SUITE 209",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633509",
            "telephone_number": "949-646-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTA FARSHIDI, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "FARSHIDI",
        "authorized_official_first_name": "ARTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-646-3333"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.