Elaheh Farhadian MD Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A100453 Issued in CA

Legal business name

ELAHEH FARHADIAN MD INC.

Practice address

17447 Chatsworth Street
Granada Hills, CA 91344

Phone

(818) 923-5702

Fax

(818) 923-5703

NPI assigned

Oct 1, 2014

Organization subpart

No

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

Authorized official

Name

Elaheh Farhadian, MDNPI 1316145956

Title

Ceo

Phone

(818) 923-5702

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Elie Medical Center Internal Medicine & Cosmetics Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18867/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elaheh Farhadian, M.D.

  • Internal Medicine Physician
  • Granada Hills, CA
  • NPI 1316145956
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547078400000",
    "number": "1922401215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17447 CHATSWORTH STREET",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "91344",
            "telephone_number": "818-923-5702",
            "fax_number": "818-923-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17447 CHATSWORTH STREET",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "91344",
            "telephone_number": "818-923-5702",
            "fax_number": "818-923-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAHEH FARHADIAN MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2019-01-10",
        "status": "A",
        "authorized_official_last_name": "FARHADIAN",
        "authorized_official_first_name": "ELAHEH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-923-5702",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A100453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A100453",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Elie Medical Center Internal Medicine & Cosmetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.