Individual provider Active NPI

Farshad B Nowzari, MD, FACS

  • Urology Physician
  • Gardena, CA
National Provider Identifier
1689741423
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A75966 Issued in CA
Practice address
1141 W Redondo Beach Blvd
Suite# 303
Gardena, CA 90247-3586
Phone
(310) 344-1017
NPI assigned
Nov 29, 2006
Last updated
Mar 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A75966 CA Primary

Addresses

Primary practice location

1141 W Redondo Beach Blvd
Suite# 303
Gardena, CA 90247-3586

Mailing address

1141 W Redondo Beach Blvd
Suite# 303
Gardena, CA 90247-3586
Phone (310) 344-1017

Other identifiers 1

IdentifierTypeStateIssuer
DQ614QOtherCAPTAN NUMBER

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051129001091 CA Practitioner - Urology 0648290189 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
George Washington University School of Medicine, 1995
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Anchor Medical GroupGroup PAC ID 9133616519, 19 clinicians
Caduceus Physicians Medical GroupGroup PAC ID 5294762654, 23 clinicians

Practice addresses (Care Compare)

1141 W Redondo Beach Blvd
Suite 303
Gardena, CA 90247-3583
Phone (310) 344-1017

18200 Yorba Linda Blvd
Suite 250
Yorba Linda, CA 92886-4044
Phone (714) 577-6031

19742 Macarthur Blvd
Suite 100
Irvine, CA 92612-2408
Phone (949) 428-0330

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75966CAMDClinical Social Worker
A75966CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Farshad Nowzari, MD Inc Urology CurrentSince Oct 1, 2013 Accepting new patients
Anchor Medical Group CurrentSince Sep 1, 2025 Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Talbert Medical Group, P.C. Urology Past Accepting new patients
Yuichi Ito, M.D., Inc. Urology PastSince Mar 31, 2014 Accepting new patients
Gardena Hospital LP Past Accepting new patients
The DCH Health Care Authority Past Accepting new patients
Northport Medical Center Past Accepting new patients

Locations

1141 W Redondo Beach Blvd
Ste 303
Gardena, CA 90247
Phone (310) 344-1017

19742 MacArthur Blvd
Ste 100
Irvine, CA 92612
Phone (714) 646-8034

333 Thalia St
Laguna Beach, CA 92651
Phone (949) 499-0577

520 Superior Ave
Ste 245
Newport Beach, CA 92663
Phone (310) 344-1017

18200 Yorba Linda Blvd
Ste 104
Yorba Linda, CA 92886
Phone (714) 646-8000

18200 Yorba Linda Blvd
Ste 111
Yorba Linda, CA 92886

18200 Yorba Linda Blvd
Ste 250
Yorba Linda, CA 92886
Phone (714) 577-6000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: fnowzari110221@direct.memorialcare.org

Organizations & group practices 11

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 2

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1689741423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 W REDONDO BEACH BLVD",
            "address_2": "SUITE# 303",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473586",
            "telephone_number": "310-344-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 W REDONDO BEACH BLVD",
            "address_2": "SUITE# 303",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473586",
            "telephone_number": "310-344-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWZARI",
        "first_name": "FARSHAD",
        "middle_name": "B",
        "credential": "MD, FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A75966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN NUMBER",
            "identifier": "DQ614Q",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

Verify at the official NPI Registry.