NPIMap

Organization Active NPI

Pantea Farhadi MD a Medical Corporation

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1689943946
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PANTEA FARHADI MD A MEDICAL CORPORATION
Practice address
8635 W 3Rd St Ste 1065W
Los Angeles, CA 90048-4120
Phone
(818) 708-3750
NPI assigned
Dec 15, 2011
Last updated
Mar 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Authorized official

Name
Dr. Sorour Khalili, M.D.
Title
Psychiatrist
Phone
(818) 708-3750

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

8635 W 3Rd St Ste 1065W
Los Angeles, CA 90048-4120

Mailing address

8635 W 3Rd St Ste 1065W
Los Angeles, CA 90048-6105
Phone (310) 483-9843

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111216000075 CA Part B Supplier - Clinic/Group Practice 6305011545 Receives reassigned benefits from 10 practitioners
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

8635 W 3rd St
Ste 1065W
Los Angeles, CA 90048
Phone (310) 360-0331

8635 W 3rd St
Ste 1065
West Hollywood, CA 90048

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1689943946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST STE 1065W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486105",
            "telephone_number": "310-483-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST STE 1065W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484120",
            "telephone_number": "818-708-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANTEA FARHADI MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-15",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "KHALILI",
        "authorized_official_first_name": "SOROUR",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "818-708-3750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.