Individual provider Active NPI

Amin Farah, MD

  • Cardiovascular Disease Physician
  • Lynwood, CA
National Provider Identifier
1902908080
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A71338 Issued in CA
Practice address
3737 Martin Luther King Jr Blvd
401
Lynwood, CA 90262-3513
Phone
(310) 604-0443
Fax
(310) 604-3367
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A71338 CA Primary

Addresses

Primary practice location

3737 Martin Luther King Jr Blvd
401
Lynwood, CA 90262-3513

Mailing address

3737 Martin Luther King Jr Blvd
401
Lynwood, CA 90262-3513
Phone (310) 604-0443

Other identifiers 1

IdentifierTypeStateIssuer
GR0007310MedicaidCA

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
I20080407000288 CA Practitioner - Cardiovascular Disease (Cardiology) 8224115886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardio Medical Consultants Group of Long Beach IncGroup PAC ID 7416034061, 5 clinicians

Practice addresses (Care Compare)

3737 Martin Luther King Jr Blvd
Suite 401
Lynwood, CA 90262-3534
Phone (310) 604-0443

Hospital & facility affiliations

  • Saint Francis Medical Center Hospital, Lynwood, CA, CCN 050104
  • Pih Health Downey Hospital Hospital, Downey, CA, CCN 050393

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
35.84
Improvement activities
40
Cost
89.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A71338CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardio Medical Consultants Group of Long Beach Inc Cardiology CurrentSince Sep 1, 2003 Accepting new patients
Mazda Motallebi MD Inc PastSince Sep 1, 2003 Accepting new patients
University of California Irvine Past Accepting new patients
Saint Francis Medical Center Past Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients

Locations

8327 Davis St
Ste 101
Downey, CA 90241
Phone (213) 604-0443

3737 Martin Luther King Jr Blvd
Ste 401
Lynwood, CA 90262
Phone (310) 604-0443

3737 Martin Luther King Jr Blvd
Lynwood, CA 90262
Phone (323) 249-2950

3737 Martin Luther King Jr Blvd
#410
Lynwood, CA 90262

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: aminfarah@cmcs.allscriptsdirect.net

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1902908080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 MARTIN LUTHER KING JR BLVD",
            "address_2": "401",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623513",
            "telephone_number": "310-604-0443",
            "fax_number": "310-604-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 MARTIN LUTHER KING JR BLVD",
            "address_2": "401",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623513",
            "telephone_number": "310-604-0443",
            "fax_number": "310-604-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAH",
        "first_name": "AMIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A71338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0007310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

Verify at the official NPI Registry.