Organization Active NPI

Farshid Paydar, LLC

  • Ambulatory Surgical Clinic/Center
  • Prescott, AZ
National Provider Identifier
1801710504
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
FARSHID PAYDAR, LLC
Practice address
980 Willow Creek Rd Ste 103
Prescott, AZ 86301-1619
Phone
(928) 649-2600
Fax
(928) 634-7847
NPI assigned
Aug 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Farshid Paydar, MD
Title
Ao, President
Phone
(928) 649-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

980 Willow Creek Rd Ste 103
Prescott, AZ 86301-1619

Mailing address

401 S Calvary Way Ste D
Cottonwood, AZ 86326-4165
Phone (928) 649-2600

Other names 1

  • PRESCOTT SURGERY CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Farshid Paydar LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

980 Willow Creek Rd
Ste 103
Prescott, AZ 86301
Phone (520) 443-0077

NPI Registry JSON

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1801710504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S CALVARY WAY STE D",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264165",
            "telephone_number": "928-649-2600",
            "fax_number": "928-634-7847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 WILLOW CREEK RD STE 103",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011619",
            "telephone_number": "928-649-2600",
            "fax_number": "928-634-7847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARSHID PAYDAR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "PAYDAR",
        "authorized_official_first_name": "FARSHID",
        "authorized_official_title_or_position": "AO, PRESIDENT",
        "authorized_official_telephone_number": "928-649-2600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRESCOTT SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.