Organization Active NPI

Dr. Kaveh S Farhoomand

  • Internal Medicine Physician
  • Oceanside, CA
National Provider Identifier
1750405270
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A8295 Issued in CA
Legal business name
DR. KAVEH S FARHOOMAND
Practice address
3231 Waring CT
Suite G
Oceanside, CA 92056-4510
Phone
(760) 758-3830
Fax
(760) 758-9139
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kaveh S Farhoomand, D.O.NPI 1447249040
Title
Owner
Phone
(760) 758-3830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 20A8295 CA Primary

Addresses

Primary practice location

3231 Waring CT
Suite G
Oceanside, CA 92056-4510

Mailing address

3231 Waring CT
Suite G
Oceanside, CA 92056-4510
Phone (760) 758-3830

Other identifiers 1

IdentifierTypeStateIssuer
00AX82950MedicaidCA

National Provider Directory

National Provider Directory

Locations

3231 Waring Ct
Ste G
Oceanside, CA 92056
Phone (760) 758-3830

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750405270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 WARING CT",
            "address_2": "SUITE G",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564510",
            "telephone_number": "760-758-3830",
            "fax_number": "760-758-9139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 WARING CT",
            "address_2": "SUITE G",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564510",
            "telephone_number": "760-758-3830",
            "fax_number": "760-758-9139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KAVEH S FARHOOMAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FARHOOMAND",
        "authorized_official_first_name": "KAVEH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-758-3830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A8295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX82950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.