Individual provider Active NPI

Farhad Farzad, M.D.

  • Ophthalmology Physician
  • Beverly Hills, CA
National Provider Identifier
1689626251
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A46404 Issued in CA
Practice address
150 N. Robertson Blvd.
Suite # 316
Beverly Hills, CA 90211-2145
Phone
(310) 247-8282
Fax
(310) 247-1418
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A46404 CA Primary

Addresses

Primary practice location

150 N. Robertson Blvd.
Suite # 316
Beverly Hills, CA 90211-2145

Mailing address

150 N. Robertson Blvd.
Suite # 316
Beverly Hills, CA 90211-2145
Phone (310) 247-8282

Other names 1

  • Farhad M.H. Farzad Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A46404CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shahriar Farzad M.D., a Medical Corporation Ophthalmology Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1689626251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N. ROBERTSON BLVD.",
            "address_2": "SUITE # 316",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112145",
            "telephone_number": "310-247-8282",
            "fax_number": "310-247-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N. ROBERTSON BLVD.",
            "address_2": "SUITE # 316",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112145",
            "telephone_number": "310-247-8282",
            "fax_number": "310-247-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARZAD",
        "first_name": "FARHAD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A46404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FARHAD",
            "last_name": "FARZAD",
            "middle_name": "M.H.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.