Fari G Kamalpour DO Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20A11842 Issued in CA

Legal business name

FARI G KAMALPOUR DO INC

Practice address

1049 Avenida Ladera
San Dimas, CA 91773-4308

Phone

(818) 730-1183

NPI assigned

Jul 8, 2014

Organization subpart

No

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

Authorized official

Name

Fari G Kamalpour, DONPI 1831327972

Title

Owner

Phone

(818) 730-1183

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Fari Garzam Kamalpour, D.O.

  • Internal Medicine Physician
  • San Dimas, CA
  • NPI 1831327972
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1922414101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 AVENIDA LADERA",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917734308",
            "telephone_number": "818-730-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 AVENIDA LADERA",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917734308",
            "telephone_number": "818-730-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARI G KAMALPOUR DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "KAMALPOUR",
        "authorized_official_first_name": "FARI",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-730-1183",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A11842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Faggard, DO
• David Fahim, DO
• Michael K Fairbanks, DPM
• Family Care Specialists Ipa
• Family Home LLC
• Ahmed Farid, DMD
• Amina Fejleh
• Catherine Felix
• Alfred Fernandez, MD
• Jesselyn Soquena Fernandez, MS, LMFT, APCC

• Internal Medicine Physician in San Dimas, CA
• Providers in San Dimas, 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 Jul 8, 2014; 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.