NPIMap

Individual provider Active NPI

Farid Zehtab, D.O.

  • Surgery Physician
  • Glendale, AZ
National Provider Identifier
1831155506
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4078 Issued in AZ
Practice address
6120 W Bell Rd
Suite 100
Glendale, AZ 85308-3781
Phone
(623) 512-4326
Fax
(623) 594-2252
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4078 AZ Primary

Addresses

Primary practice location

6120 W Bell Rd
Suite 100
Glendale, AZ 85308-3781

Mailing address

6120 W Bell Rd
Ste 130
Glendale, AZ 85308-3782
Phone (623) 512-4326

Other identifiers 1

IdentifierTypeStateIssuer
883406MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040907000961 AZ Practitioner - General SurgeryPractitioner - Osteopathic Manipulative Medicine 3971579418 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Western University of Health Sciences College of Dental Med, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Valley Surgical Associates PLLCGroup PAC ID 5193014678, 2 clinicians
City of Hope Medical Group of Arizona LLCGroup PAC ID 2264593474, 159 clinicians

Practice addresses (Care Compare)

13555 W McDowell Rd
Suite 204
Goodyear, AZ 85395-2626
Phone (623) 247-0300

14200 W Celebrate Life Way
Goodyear, AZ 85338-3007
Phone (623) 207-3000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)17
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4078AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Solutions LLC Surgery CurrentSince Jun 23, 2026 Accepting new patients
Southwest Valley Surgical Associates, PLLC Surgery CurrentSince Jun 14, 2022 Accepting new patients
City of Hope Medical Group of Arizona LLC Surgery CurrentSince Feb 8, 2017 Accepting new patients
VHS Outpatient Clinics, Inc. PastSince Aug 23, 2020 Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients
University Medical Associates Inc Past Accepting new patients

Locations

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

13555 W McDowell Rd
Ste 204
Goodyear, AZ 85395
Phone (613) 512-4326

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

13555 W McDowell Rd
Ste 203
Goodyear, AZ 85395
Phone (623) 512-4190

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542

Interoperability endpoints

  • Direct secure messaging: fzehtab145273@cityofhope.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1831155506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 W BELL RD",
            "address_2": "STE 130",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083782",
            "telephone_number": "623-512-4326",
            "fax_number": "623-594-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 W BELL RD",
            "address_2": "SUITE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083781",
            "telephone_number": "623-512-4326",
            "fax_number": "623-594-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEHTAB",
        "first_name": "FARID",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "4078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "883406",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.