Active NPI
Kamyar Farhangfar, M.D.
- Internal Medicine Physician
- Folsom, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A062478
- Practice address
- 400 Plaza Dr Ste 160
Folsom, CA 95630-4746 - Phone
- (916) 458-5435
- NPI assigned
- Jan 4, 2007
- Last updated
- Feb 3, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A062478 | CA | Primary |
Addresses
Primary practice location
400 Plaza Dr Ste 160
Folsom, CA 95630-4746
Mailing address
1015 Riley St Unit 6241
Folsom, CA 95763-4101
Phone (916) 458-5435
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA192780 | Other | CA | MEDICARE PTAN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Sanford School of Medicine of University of South Dakota, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4815 Watt Ave
North Highlands, CA 95660-5108
Phone (916) 454-2345
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62487 | CA | MD | Dentist |
| A062478 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elica Health Centers | Current | Accepting new patients | |
| Destiny Health Clinic LLC | Internal Medicine | Current | Accepting new patients |
| Sierra Medical Partnership | Internal Medicine | Current | Accepting new patients |
| Elica Health Centers | Current | Accepting new patients | |
| Sierra Medical Partnership | Current | Accepting new patients | |
| Optimal Wellness Clinic Inc | Internal Medicine | Current | Accepting new patients |
| Elica Health Centers | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| John Muir Health | Past | Accepting new patients | |
| Dignity Health Medical Foundation | Past | Accepting new patients |
Locations
275 Grass Valley Hwy
Auburn, CA 95603
Phone (530) 885-0344
1015 Riley St
Unit 6241
Folsom, CA 95763
1580 Creekside Dr
Ste 130
Folsom, CA 95630
Phone (916) 542-1458
400 Plaza Dr
Ste 160
Folsom, CA 95630
Phone (916) 458-5435
4815 Watt Ave
North Highlands, CA 95660
1750 Wright St
Ste 1
Sacramento, CA 95825
1860 Howe Ave
Ste 440
Sacramento, CA 95825
1276 Halyard Dr
West Sacramento, CA 95691
Phone (530) 865-5544
155 15th St
Ste A
West Sacramento, CA 95691
Phone (916) 375-8981
Interoperability endpoints
- https://api.platform.athenahealth.com/15691/brand/4/csg/1/fhir/r4
- https://api.platform.athenahealth.com/23152/brand/1/csg/1/fhir/r4
Organizations & group practices 12
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.
-
- Federally Qualified Health Center (FQHC)
- West Sacramento, CA
- NPI 1548425853
-
- Internal Medicine Physician
- Folsom, CA
- NPI 1326631086
-
- Internal Medicine Physician
- Folsom, CA
- NPI 1851885545
-
- Obesity Medicine (Preventive Medicine) Physician
- Folsom, CA
- NPI 1518889849
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1265059182
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1760293351
-
- Surgery Physician
- El Dorado Hills, CA
- NPI 1801502679
-
dba Dignity Health Medical Group - North State, a service of Dignity Healt
- Multi-Specialty Clinic/Center
- Redding, CA
- NPI 1912288432
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1093974065
-
dba John Muir Health Medical Center, Concord Campus
- General Acute Care Hospital
- Concord, CA
- NPI 1801821376
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sutter Auburn Faith Hospital
- General Acute Care Hospital
- Auburn, CA
- NPI 1194774299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675382400000",
"number": "1821145426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 RILEY ST UNIT 6241",
"city": "FOLSOM",
"state": "CA",
"postal_code": "957634101",
"telephone_number": "916-458-5435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 PLAZA DR STE 160",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956304746",
"telephone_number": "916-458-5435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARHANGFAR",
"first_name": "KAMYAR",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2023-02-03",
"certification_date": "2023-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A062478",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "CA192780",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.