Active NPI
Nooshin Farahmand
- Specialist
- Anaheim, CA
National Provider Identifier
1821013293
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Sep 20, 2012.
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0A564650
- Practice address
- 1751 W Romneya Dr Ste a
Anaheim, CA 92801-1815 - Phone
- (714) 991-8254
- Fax
- (714) 991-8241
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0A564650 | CA | Primary |
Addresses
Primary practice location
1751 W Romneya Dr Ste a
Anaheim, CA 92801-1815
Mailing address
1751 W Romneya Dr Ste a
Anaheim, CA 92801-1815
Phone (714) 991-8254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0A564650 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821013293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1751 W ROMNEYA DR STE A",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011815",
"telephone_number": "714-991-8254",
"fax_number": "714-991-8241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1751 W ROMNEYA DR STE A",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011815",
"telephone_number": "714-991-8254",
"fax_number": "714-991-8241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARAHMAND",
"first_name": "NOOSHIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "0A564650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.