Individual provider Active NPI

Sara Forouhar, M.D.

  • Pediatrics Physician
  • Palm Springs, CA
National Provider Identifier
1871937946
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A145453 Issued in CA
Practice address
555 E Tachevah Dr Ste 2E107
Palm Springs, CA 92262-5752
Phone
(760) 561-7373
Fax
(760) 327-5140
NPI assigned
Apr 19, 2013
Last updated
Jan 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X ME127971 FL
Pediatrics Physician 208000000X A145453 CA Primary

Addresses

Primary practice location

555 E Tachevah Dr Ste 2E107
Palm Springs, CA 92262-5752

Mailing address

555 E Tachevah Dr Ste 2E107
Palm Springs, CA 92262-5752
Phone (760) 561-7373

Other practice location 1

13535 Nemours Pkwy
Orlando, FL 32827-7402
Phone (407) 567-4000

Other practice location 2

1611 NW 12th Ave
Miami, FL 33136-1005
Phone (305) 585-6042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161111001680 FL Practitioner - Pediatric Medicine 6305125477 Reassigns benefits to 1 organization
I20170315000632 CA Practitioner - Pediatric Medicine 6305125477 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A145453CAMDPediatrics Physician
ME127971FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health CurrentSince Mar 1, 2020 Accepting new patients
First Choice Physician Partners Current Accepting new patients
Caremore Pediatric Hospitalist Medical Group, Inc. Pediatrics CurrentSince Jul 1, 2020 Accepting new patients
Banner Health CurrentSince Mar 1, 2020 Accepting new patients
Children's Hospital Los Angeles Medical Group, Inc. Pediatrics CurrentSince Nov 19, 2024 Accepting new patients
The Nemours Foundation CurrentSince Nov 14, 2017 Accepting new patients
Ucr Health - Psychiatry CurrentSince Aug 20, 2018 Accepting new patients
The Nemours Foundation Current Accepting new patients
Valley Children's Medical Group Pediatrics CurrentSince Apr 22, 2017 Accepting new patients
The Nemours Foundation CurrentSince Nov 14, 2017 Accepting new patients
First Choice Physician Partners Pediatrics CurrentSince Dec 13, 2019 Accepting new patients
Regents of the University of California CurrentSince Aug 20, 2018 Accepting new patients
First Choice Physician Partners CurrentSince Dec 13, 2019 Accepting new patients
Childrens Hospital of Los Angeles Past Accepting new patients
Sonora Community Hospital Past Accepting new patients
Children's Hospital Los Angeles Past Accepting new patients
Southern Baptist Hospital of Florida Inc Past Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients

Locations

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122

1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880

555 E Tachevah Dr
Ste 2E107
Palm Springs, CA 92262
Phone (760) 561-7373

35800 Bob Hope Dr
Ste 225
Rancho Mirage, CA 92270
Phone (760) 324-4466

3390 University Ave
Ste 1
Riverside, CA 92501
Phone (951) 827-7793

1680 Bunyan Rd
Susanville, CA 96130
Phone (530) 252-2235

1800 Spring Ridge Dr
Susanville, CA 96130
Phone (530) 252-2225

807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600

6535 Nemours Pkwy
Orlando, FL 32827
Phone (407) 567-4000

Interoperability endpoints

  • Direct secure messaging: sara.forouhar.1@9582.direct.athenahealth.com
  • Direct secure messaging: sforouhar17957@valleychildrens-prd.direct-ci.com

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1871937946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E TACHEVAH DR STE 2E107",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922625752",
            "telephone_number": "760-561-7373",
            "fax_number": "760-327-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E TACHEVAH DR STE 2E107",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922625752",
            "telephone_number": "760-561-7373",
            "fax_number": "760-327-5140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13535 Nemours Pkwy",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328277402",
            "country_code": "US",
            "telephone_number": "407-567-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1611 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361005",
            "country_code": "US",
            "telephone_number": "305-585-6042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOROUHAR",
        "first_name": "SARA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-19",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME127971",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A145453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.