Organization Active NPI

Adam Farzaneh MD PC

  • Family Medicine Physician
  • Rancho Mirage, CA
National Provider Identifier
1669246898
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ADAM FARZANEH MD PC
Practice address
69844 Highway 111 Ste H
Rancho Mirage, CA 92270-2849
Phone
(760) 282-8000
Fax
(760) 627-7292
NPI assigned
Nov 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Authorized official

Name
Adam Farzaneh, MDNPI 1154819209
Title
MD
Phone
(760) 282-8000

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

69844 Highway 111 Ste H
Rancho Mirage, CA 92270-2849

Mailing address

69844 Highway 111 Ste H
Rancho Mirage, CA 92270-2849
Phone (760) 282-8000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240419002726 CA Part B Supplier - Clinic/Group Practice 8729427976 Receives reassigned benefits from 1 practitioner
Practice locations: Rancho Mirage, CA

National Provider Directory

National Provider Directory

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": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1669246898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69844 HIGHWAY 111 STE H",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702849",
            "telephone_number": "760-282-8000",
            "fax_number": "760-627-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69844 HIGHWAY 111 STE H",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702849",
            "telephone_number": "760-282-8000",
            "fax_number": "760-627-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM FARZANEH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "FARZANEH",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "760-282-8000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.