Individual provider Active NPI

Farhad Motamedi, M.D

  • Urology Physician
  • Santa Monica, CA
National Provider Identifier
1891887287
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A39018 Issued in CA
Practice address
326 Georgina Ave
Santa Monica, CA 90402-1618
Phone
(310) 666-8392
Fax
(310) 319-0331
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A39018 CA Primary

Addresses

Primary practice location

326 Georgina Ave
Santa Monica, CA 90402-1618

Mailing address

PO Box 3519
Santa Monica, CA 90408-3519
Phone (310) 666-8392

Other identifiers 1

IdentifierTypeStateIssuer
00A390181MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060110001177 CA Practitioner - Urology 9234152794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3700 Wilshire Blvd
Suite 980
Los Angeles, CA 90010-3089

PO Box
Suite 3519
Santa Monica, CA 90408

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A39018CAMDUrology Physician
39018CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Feb 1, 2016 Accepting new patients
County of Los Angeles CurrentSince Feb 1, 2016 Accepting new patients
Pacific Urologic Consultants, P.S. Urology PastSince Apr 11, 2012 Accepting new patients

Locations

1000 S Fremont Ave
Bldg A11
Alhambra, CA 91803
Phone (626) 457-4240

1670 E 120th St
Los Angeles, CA 90059
Phone (424) 338-1000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1891887287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3519",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904083519",
            "telephone_number": "310-666-8392",
            "fax_number": "310-319-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 GEORGINA AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904021618",
            "telephone_number": "310-666-8392",
            "fax_number": "310-319-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTAMEDI",
        "first_name": "FARHAD",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A39018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A390181",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.