Organization Active NPI

Fawzi Farha MD Inc

Doing business as One Vein Clinic

  • Surgery Physician
  • St Augustine, FL
National Provider Identifier
1912599515
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
FAWZI FARHA MD INC
Doing business as
One Vein Clinic
One Vein Clinic & Med Spa
Practice address
206 Ashourian Ave Ste 213
Saint Augustine, FL 32092-5107
Phone
(904) 990-0777
Fax
(888) 464-0609
NPI assigned
Feb 5, 2021
Last updated
May 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Authorized official

Name
Fawzi S Farha, MDNPI 1477532463
Title
Owner
Phone
(904) 990-0777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

206 Ashourian Ave Ste 213
Saint Augustine, FL 32092-5107

Mailing address

206 Ashourian Ave Ste 213
Saint Augustine, FL 32092-5107
Phone (904) 990-0777

Other practice location 1

6206 Atlantic Blvd
Jacksonville, FL 32211-7560
Phone (904) 990-0777

Other names 2

  • ONE VEIN CLINIC Doing business as
  • One Vein Clinic & Med Spa Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210331002817 FL Part B Supplier - Clinic/Group Practice 2860809266 Receives reassigned benefits from 2 practitioners
Practice locations: St Augustine, FL; Starke, FL

National Provider Directory

National Provider Directory

Locations

6206 Atlantic Blvd
Jacksonville, FL 32211
Phone (904) 990-0777

206 Ashourian Ave
Ste 213
St Augustine, FL 32092
Phone (904) 990-0777

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHGECD

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1912599515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 ASHOURIAN AVE STE 213",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320925107",
            "telephone_number": "904-990-0777",
            "fax_number": "888-464-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 ASHOURIAN AVE STE 213",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320925107",
            "telephone_number": "904-990-0777",
            "fax_number": "888-464-0609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6206 Atlantic Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322117560",
            "country_code": "US",
            "telephone_number": "904-990-0777",
            "fax_number": "888-464-0609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAWZI FARHA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-05",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "FARHA",
        "authorized_official_first_name": "FAWZI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-990-0777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ONE VEIN CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ONE VEIN CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "One Vein Clinic & Med Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.