Individual provider Active NPI

Pardis Lipkin Farhadian, DDS, MS

  • Pediatric Dentistry
  • Menlo Park, CA
National Provider Identifier
1861010928
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
104621 Issued in CA
Practice address
90 Middlefield Rd Ste 1
Menlo Park, CA 94025-4001
Phone
(650) 323-0264
NPI assigned
Jul 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 104621 CA
Pediatric Dentistry 1223P0221X 104621 CA Primary

Addresses

Primary practice location

90 Middlefield Rd Ste 1
Menlo Park, CA 94025-4001

Mailing address

90 Middlefield Rd Ste 1
Menlo Park, CA 94025-4001
Phone (650) 323-0264

Other practice location 1

2946 Broadway Ste A
Redwood City, CA 94062-1510
Phone (650) 569-1680

Other names 1

  • Dr. Pardis L Farhadian Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
104621CAMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1861010928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MIDDLEFIELD RD STE 1",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254001",
            "telephone_number": "650-323-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MIDDLEFIELD RD STE 1",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254001",
            "telephone_number": "650-323-0264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2946 Broadway Ste A",
            "address_purpose": "LOCATION",
            "city": "Redwood City",
            "state": "CA",
            "postal_code": "940621510",
            "country_code": "US",
            "telephone_number": "650-569-1680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARHADIAN",
        "first_name": "PARDIS",
        "middle_name": "LIPKIN",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "104621",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "104621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PARDIS",
            "last_name": "FARHADIAN",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.