Active NPI
Farshad Khosraviani
- Student in an Organized Health Care Education/Training Program
- Rancho Mirage, CA
National Provider Identifier
1699462804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 71949 Highway 111 Ste 100B
Rancho Mirage, CA 92270-4826 - Phone
- (760) 565-6055
- NPI assigned
- Apr 18, 2023
- Last updated
- Jul 17, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
71949 Highway 111 Ste 100B
Rancho Mirage, CA 92270-4826
Mailing address
1012 Huntcliff Village CT
Atlanta, GA 30350-7516
Phone (949) 771-5704
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jai Singh Narula DDS Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1699462804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 HUNTCLIFF VILLAGE CT",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303507516",
"telephone_number": "949-771-5704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71949 HIGHWAY 111 STE 100B",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922704826",
"telephone_number": "760-565-6055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHOSRAVIANI",
"first_name": "FARSHAD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-18",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"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 Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.