Individual provider Active NPI

Kamyar Farhangfar, M.D.

  • Internal Medicine Physician
  • Folsom, CA
National Provider Identifier
1821145426
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A062478 Issued in CA
Practice address
400 Plaza Dr Ste 160
Folsom, CA 95630-4746
Phone
(916) 458-5435
NPI assigned
Jan 4, 2007
Last updated
Feb 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
CA192780OtherCAMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041123000296 CA Practitioner - Internal Medicine 9739157694 Reassigns benefits to 1 organization
Practice locations: Folsom, CA

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
Elica Health CentersGroup PAC ID 4385706845, 23 clinicians

Practice addresses (Care Compare)

4815 Watt Ave
North Highlands, CA 95660-5108
Phone (916) 454-2345

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62487CAMDDentist
A062478CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elica Health Centers CurrentSince Jan 30, 2026 Accepting new patients
Destiny Health Clinic LLC Internal Medicine CurrentSince Feb 21, 2021 Accepting new patients
Sierra Medical Partnership Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
Elica Health Centers CurrentSince Jan 30, 2026 Accepting new patients
Sierra Medical Partnership CurrentSince Jan 1, 2024 Accepting new patients
Optimal Wellness Clinic Inc Internal Medicine CurrentSince Feb 8, 2023 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

  • FHIR API: https://api.platform.athenahealth.com/15691/brand/4/csg/1/fhir/r4
  • FHIR API: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.