Individual provider Active NPI

Farshid Fararooy, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1922045939
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C 55122 Issued in CA
Practice address
8405 Beverly Blvd
Los Angeles, CA 90048-3401
Phone
(323) 653-8622
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 74864 MA
Internal Medicine Physician 207R00000X C 55122 CA Primary

Addresses

Primary practice location

8405 Beverly Blvd
Los Angeles, CA 90048-3401

Mailing address

1946 Overland Ave Apt 201
Los Angeles, CA 90025-5898
Phone (617) 888-3600

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
I20140717000145 CA Practitioner - Internal Medicine 4082887187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Los Angeles Free ClinicGroup PAC ID 5395886311, 26 clinicians

Practice addresses (Care Compare)

5205 Melrose Ave
Los Angeles, CA 90038-3144
Phone (323) 653-1990

6043 Hollywood Blvd
Los Angeles, CA 90028-5411
Phone (323) 653-1990

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55122CAMDPharmacist
C 55122CAMDInternal Medicine Physician
74864MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Los Angeles Free Clinic Current Accepting new patients
The Los Angeles Free Clinic CurrentSince Dec 14, 2018 Accepting new patients
The Los Angeles Free Clinic CurrentSince Dec 14, 2018 Accepting new patients

Locations

5205 Melrose Ave
Los Angeles, CA 90038
Phone (323) 337-1878

6043 Hollywood Blvd
Los Angeles, CA 90028
Phone (323) 653-1990

8405 Beverly Blvd
West Hollywood, CA 90048
Phone (323) 653-1990

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1922045939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1946 OVERLAND AVE APT 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255898",
            "telephone_number": "617-888-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8405 BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483401",
            "telephone_number": "323-653-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAROOY",
        "first_name": "FARSHID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "74864",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C 55122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.