Active NPI
Babak Farzaneh
- Surgery Physician
- Chino, CA
National Provider Identifier
1740496322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A97278
- Practice address
- 13768 Roswell Ave
Suite 222
Chino, CA 91710-1401 - Phone
- (909) 590-2299
- Fax
- (909) 590-7755
- NPI assigned
- May 14, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A97278 | CA | Primary |
Addresses
Primary practice location
13768 Roswell Ave
Suite 222
Chino, CA 91710-1401
Mailing address
14328 Autumn Hill LN
Chino Hills, CA 91709-1702
Phone (909) 560-6463
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Truecare Surgery Center, LLC | Past | Accepting new patients | |
| Kerry N Gott MD Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Ambulatory Surgical Clinic/Center
- Chino Hills, CA
- NPI 1972923068
-
- Infectious Disease Physician
- Pomona, CA
- NPI 1306138706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358985600000",
"number": "1740496322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14328 AUTUMN HILL LN",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917091702",
"telephone_number": "909-560-6463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13768 ROSWELL AVE",
"address_2": "SUITE 222",
"city": "CHINO",
"state": "CA",
"postal_code": "917101401",
"telephone_number": "909-590-2299",
"fax_number": "909-590-7755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARZANEH",
"first_name": "BABAK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2013-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A97278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.