Individual provider Active NPI

Farhad Mazdisnian, MD

  • Pulmonary Disease Physician
  • Duarte, CA
National Provider Identifier
1750469201
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A64550 Issued in CA
Practice address
1500 Duarte Rd
Duarte, CA 91010-3012
Phone
(626) 256-4673
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A64550 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 18260 NH
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD2019-0989 NM
Pulmonary Disease Physician 207RP1001X 18260 NH
Pulmonary Disease Physician 207RP1001X MD2019-0989 NM
Pulmonary Disease Physician 207RP1001X A64550 CA Primary

Addresses

Primary practice location

1500 Duarte Rd
Duarte, CA 91010-3012

Mailing address

PO Box 512185
Los Angeles, CA 90051-0185

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@cityofhope.direct-ci.com Direct CITY OF HOPE MEDICAL FOUNDATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080108000222 CA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 5496846313 Reassigns benefits to 5 organizations
I20171025002542 NH Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 5496846313 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Jefferson Medical College of Thomas Jefferson University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City of Hope Medical FoundationGroup PAC ID 3779751656, 964 clinicians

Practice addresses (Care Compare)

1000 Fivepoint
Irvine, CA 92618-2377
Phone (949) 671-4673

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.8 of 100Reported as group
Quality
78.51
Promoting interoperability
100
Improvement activities
40
Cost
70.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A64550CAMDCritical Care Medicine (Internal Medicine) Physician
18260NHMDCritical Care Medicine (Internal Medicine) Physician
MD2019-0989NMMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Foothill Pulmonary & Critical Care Consultants Medical Group Inc. Critical Care Medicine CurrentSince Sep 1, 2013 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Aug 21, 2017 Accepting new patients
Inpatient Specialists of California, PC CurrentSince Jun 1, 2015 Accepting new patients
City of Hope Medical Foundation Pulmonary Disease CurrentSince Jan 1, 2022 Accepting new patients
UC Regents Pulmonary Disease CurrentSince Apr 1, 2012 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Aug 21, 2017 Accepting new patients
Hospitalist Medicine Physicians of California, Inc CurrentSince Nov 16, 2021 Accepting new patients
UC Regents Current Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Aug 21, 2017 Accepting new patients
Templeton Inpatient Physicians PC Critical Care Medicine Past Accepting new patients
Rancho Faculty Medical Associates, Inc. Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Sterling Critical Care Services of Colorado, LLC Critical Care Medicine Past Accepting new patients
Delphi OB-GYN Group of Montgomery County LLC Past Accepting new patients
Cogent Healthcare of California, PC Past Accepting new patients

Locations

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111

155 Glasson Way
Grass Valley, CA 95945
Phone (530) 274-6000

1000 Fivepoint
Irvine, CA 92618
Phone (888) 333-4673

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

1601 Avocado Ave
Newport Beach, CA 92660
Phone (949) 763-2204

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

959 E Walnut St
Ste 120
Pasadena, CA 91106
Phone (626) 795-1831

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

Interoperability endpoints

  • Direct secure messaging: direct@cityofhope.direct-ci.com
  • Direct secure messaging: fmazdisnian209539@christushealth.direct-ci.net

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

Hospital & facility affiliations 1

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1750469201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512185",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900510185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 DUARTE RD",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910103012",
            "telephone_number": "626-256-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZDISNIAN",
        "first_name": "FARHAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A64550",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NH",
            "license": "18260",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NM",
            "license": "MD2019-0989",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NH",
            "license": "18260",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NM",
            "license": "MD2019-0989",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A64550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@cityofhope.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "CITY OF HOPE MEDICAL FOUNDATION",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1500 Duarte Rd",
            "city": "Duarte",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910103012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Duarte, CA

Sources for this page

Verify at the official NPI Registry.