Individual provider Active NPI

Navid Farahmand, MD

  • Pain Medicine (Anesthesiology) Physician
  • Newport Beach, CA
National Provider Identifier
1790841799
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
7017964-1205 Issued in UT
Practice address
4631 Teller Ave Ste 100
Newport Beach, CA 92660-8105
Phone
(949) 335-7500
Fax
(949) 387-1206
NPI assigned
Dec 28, 2006
Last updated
Jun 25, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 7017964-1205 UT Primary

Addresses

Primary practice location

4631 Teller Ave Ste 100
Newport Beach, CA 92660-8105

Mailing address

4631 Teller Ave Ste 100
Newport Beach, CA 92660-8105
Phone (949) 335-7500

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111011000412 CA Practitioner - Pain ManagementPractitioner - Anesthesiology 4486655875 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
University of California, San Diego School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sports and Spine OrthopaedicsGroup PAC ID 8224028378, 14 clinicians
Orange Coast Anesthesia IncGroup PAC ID 2466613591, 85 clinicians

Practice addresses (Care Compare)

23456 Hawthorne Blvd
Suite 200
Torrance, CA 90505-4716
Phone (310) 742-8388

3828 Delmas Ter
Culver City, CA 90232-2713
Phone (310) 836-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7017964-1205UTMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Coast Anesthesia Inc CurrentSince May 27, 2018 Accepting new patients
Sports and Spine Orthopaedics CurrentSince Nov 1, 2021 Accepting new patients
Tustin Irvine Medical Group, Inc Past Accepting new patients
Innovative Medical Solutions Inc a Medical Group Past Accepting new patients

Locations

3828 Delmas Ter
Culver City, CA 90232
Phone (310) 202-4745

17100 Euclid St
Fountain Vly, CA 92708
Phone (714) 966-7200

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

3700 South St
Lakewood, CA 90712
Phone (562) 424-2900

3751 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-3160

3680 Wilshire Blvd
Fl 2
Los Angeles, CA 90010
Phone (213) 348-6388

6245 De Longpre Ave
Los Angeles, CA 90028
Phone (310) 306-5502

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

1301 N Rose Dr
Placentia, CA 92870
Phone (714) 524-4252

23456 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 375-8700

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403654400000",
    "number": "1790841799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 TELLER AVE STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608105",
            "telephone_number": "949-335-7500",
            "fax_number": "949-387-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4631 TELLER AVE STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608105",
            "telephone_number": "949-335-7500",
            "fax_number": "949-387-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAHMAND",
        "first_name": "NAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2014-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "UT",
            "license": "7017964-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.