Analiza Farahbakhsh, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F11190032 Issued in CA

Practice address

6530 Independence Ave Apt 208
Canoga Park, CA 91303-2984

Phone

(818) 933-1920

NPI assigned

Nov 14, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Shine MMG IncGroup PAC ID 6103257282, 25 clinicians

California Mobile Medical Group IncGroup PAC ID 7719330091, 16 clinicians

Mobile Medical Group Inc.Group PAC ID 8224397963, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• California Mobile Medical Group Inc

  dba The Mobile DRS

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1588439061
  Medicare reassignment Care Compare group NPD
• Mobile Medical Group Inc

  dba TMD

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1487169660
  Medicare reassignment Care Compare group NPD
• Shine MMG Inc

  dba Shine MMG

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1053930248
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1780229674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6530 INDEPENDENCE AVE APT 208",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913032984",
            "telephone_number": "818-933-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6530 INDEPENDENCE AVE APT 208",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913032984",
            "telephone_number": "818-933-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAHBAKHSH",
        "first_name": "ANALIZA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F11190032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Falcon
• Family Aid Hospice & Palliative Care Inc
• Family Planning Associates Medical Group Inc. (FPA Women's Health)
• Family Planning Associates Medical Group Inc. (FPA Women's Health)
• Ellis L Faraci, RN
• Stephanie Fares
• Melissa Farmer, LVN
• Dominic Fasick
• Talar Fassih, PA
• Fast Aid Home Care Inc

• Family Nurse Practitioner in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.