Active NPI
Farid Didari DPM PC
- Foot & Ankle Surgery Podiatrist
- Montclair, CA
National Provider Identifier
1851847156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E5242
- Legal business name
- FARID DIDARI DPM PC
- Practice address
- 5050 San Bernardino St
Montclair, CA 91763-2326 - Phone
- (310) 625-9797
- NPI assigned
- Aug 28, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Farid Didari, DPM
- Title
- Owner
- Phone
- (310) 625-9797
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E5242 | CA | Primary |
Addresses
Primary practice location
5050 San Bernardino St
Montclair, CA 91763-2326
Mailing address
1141 W Redondo Beach Blvd
Ste 302
Gardena, CA 90241-3583
Phone (310) 625-9797
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472342400000",
"number": "1851847156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1141 W REDONDO BEACH BLVD",
"address_2": "STE 302",
"city": "GARDENA",
"state": "CA",
"postal_code": "902413583",
"telephone_number": "310-625-9797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 SAN BERNARDINO ST",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917632326",
"telephone_number": "310-625-9797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FARID DIDARI DPM PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-28",
"last_updated": "2016-08-28",
"status": "A",
"authorized_official_last_name": "DIDARI",
"authorized_official_first_name": "FARID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-625-9797",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E5242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.