Optimal Wellness Clinic Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

OPTIMAL WELLNESS CLINIC INC

Practice address

1234 Galston Dr
Folsom, CA 95630-6137

Phone

(925) 787-0094

NPI assigned

Jun 18, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Kamyar Farhangfar, MDNPI 1821145426

Title

President

Phone

(925) 787-0094

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kamyar Farhangfar, M.D.

  • Internal Medicine Physician
  • Folsom, CA
  • NPI 1821145426
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529280000000",
    "number": "1851885545",
    "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": "925-787-0094",
            "fax_number": "916-277-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 GALSTON DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306137",
            "telephone_number": "925-787-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL WELLNESS CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-06-18",
        "status": "A",
        "authorized_official_last_name": "FARHANGFAR",
        "authorized_official_first_name": "KAMYAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-787-0094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ben Joseph Olivo, PT
• Dennis Edward Olsen II, LMFT
• Gregory G. Olsen, DDS
• Marty Olsen, IBCLC
• Theresia Ananda Onyango
• Philip Jacob Orisek, M.D.
• Kirstyn Ormsby, DPT
• Moises Orozco Sanchez Cicco
• Paula Jean Ortiz, L.C.S.W.
• Patrick J Osgood, M.D.

• Internal Medicine Physician in Folsom, CA
• Providers in Folsom, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.