Bijan Farah MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A35772 Issued in CA

Legal business name

BIJAN FARAH MD INC

Doing business as

Encino Town Medical Group

Practice address

17130 Ventura Blvd
Encino, CA 91316-4003

Phone

(818) 385-1300

Fax

(818) 385-1395

NPI assigned

Oct 1, 2006

Organization subpart

No

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

Authorized official

Name

Biajn Farah, MD

Title

President

Phone

(818) 385-1300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Encino Town Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Bijan Farah, MD

  • Internal Medicine Physician
  • Encino, CA
  • NPI 1972538890
  Medicare reassignment

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

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1811080187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260496",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914260496",
            "telephone_number": "818-385-1300",
            "fax_number": "818-385-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17130 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164003",
            "telephone_number": "818-385-1300",
            "fax_number": "818-385-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIJAN FARAH MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-01",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "BIAJN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-385-1300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A35772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A357721",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Encino Town Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Betty Bildner, SLP
• Reba K Bindra, M.D.
• Biocare RX Specialty Pharmacy LLC
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• Internal Medicine Physician in Encino, CA
• Providers in Encino, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.