Individual provider Active NPI

Haleh Farzanmehr, M.D.

  • Clinical Medical Laboratory
  • Irvine, CA
National Provider Identifier
1902037427
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLF00345153 Issued in CA
Practice address
18201 McDurmott W
Ste B
Irvine, CA 92614-4748
Phone
(703) 371-6707
Fax
(949) 527-6525
NPI assigned
Jul 31, 2009
Last updated
Apr 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CLF00345153 CA Primary
Molecular Genetic Pathology (Medical Genetics) Physician 207SM0001X A112919 CA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A112919 CA

Addresses

Primary practice location

18201 McDurmott W
Ste B
Irvine, CA 92614-4748

Mailing address

18201 McDurmott W
Ste B
Irvine, CA 92614-4748
Phone (703) 371-6707

Other identifiers 1

IdentifierTypeStateIssuer
1801226543MedicaidCA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A112919CAMDAnatomic Pathology & Clinical Pathology Physician
CLF00345153CAMDClinical Medical Laboratory

Practice roles

OrganizationSpecialtyStatusNew patients
Zhina-X Genomic Laboratories Molecular Genetic Pathology CurrentSince Dec 12, 2022 Accepting new patients

Locations

18201 McDurmott W
Ste B
Irvine, CA 92614
Phone (703) 371-6707

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1902037427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18201 MCDURMOTT W",
            "address_2": "STE B",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144748",
            "telephone_number": "703-371-6707",
            "fax_number": "949-527-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18201 MCDURMOTT W",
            "address_2": "STE B",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144748",
            "telephone_number": "703-371-6707",
            "fax_number": "949-527-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARZANMEHR",
        "first_name": "HALEH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-31",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF00345153",
            "primary": true
        },
        {
            "code": "207SM0001X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Molecular Genetic Pathology",
            "state": "CA",
            "license": "A112919",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A112919",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801226543",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.