Active NPI
Sirus Farivar, MD
- Gastroenterology Physician
- Huntington Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A36333
- Practice address
- 17822 Beach Blvd
Ste 437
Huntington Beach, CA 92647-7101 - Phone
- (714) 841-7878
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A36333 | CA | Primary |
Addresses
Primary practice location
17822 Beach Blvd
Ste 437
Huntington Beach, CA 92647-7101
Mailing address
17822 Beach Blvd
Ste 437
Huntington Beach, CA 92647-7101
Phone (714) 841-7878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A363330 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 Newport Ctr Dr
Suite 609
Newport Beach, CA 92660-7695
Phone (949) 760-0398
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36333 | CA | MD | Clinical Psychologist |
| A36333 | CA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Medical Doctors | Current | Accepting new patients | |
| United Medical Doctors | Gastroenterology | Current | Accepting new patients |
| State of California - Department of Developmental Services | Current | Accepting new patients | |
| Hoag Memorial Hospital Presbyterian | Past | Accepting new patients | |
| Orange Coast Memorial Medical Center | Past | Accepting new patients |
Locations
2083 Compton Ave
Ste 104
Corona, CA 92881
Phone (951) 256-8191
2501 Harbor Blvd
Costa Mesa, CA 92626
Phone (714) 957-5000
521 E Elder St
Ste 104
Fallbrook, CA 92028
Phone (760) 728-9560
18111 Brookhurst St
Ste 5200
Fountain Vly, CA 92708
Phone (714) 962-7705
17822 Beach Blvd
Ste 437
Huntington Beach, CA 92647
Phone (714) 841-7878
19582 Beach Blvd
Ste 316
Huntington Beach, CA 92648
Phone (714) 378-2428
10861 Cherry St
Ste 107
Los Alamitos, CA 90720
Phone (562) 430-4449
400 Newport Center Dr
Ste 609
Newport Beach, CA 92660
Phone (949) 760-0398
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
- Gastroenterology Physician
- Murrieta, CA
- NPI 1770559981
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1154372498
-
- Orthopaedic Surgery Physician
- San Diego, CA
- NPI 1194554675
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264550400000",
"number": "1891896841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17822 BEACH BLVD",
"address_2": "STE 437",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926477101",
"telephone_number": "714-841-7878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17822 BEACH BLVD",
"address_2": "STE 437",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926477101",
"telephone_number": "714-841-7878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARIVAR",
"first_name": "SIRUS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2010-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A36333",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A363330",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.