Shaban Azar Farr, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A32840 Issued in CA

Legal business name

SHABAN AZAR FARR, MD

Practice address

18541 Sherman Way
#101
Reseda, CA 91335

Phone

(818) 996-9479

Fax

(818) 363-2100

NPI assigned

Sep 23, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Shaban Azar Farr, MDNPI 1104854637

Title

Medical Director

Phone

(818) 360-2800

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Shaban Azar Farr, M.D.

  • Surgery Physician
  • Granada Hills, CA
  • NPI 1104854637
  NPD (past) Authorized official

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1942534987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18541 SHERMAN WAY",
            "address_2": "#101",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "91335",
            "telephone_number": "818-360-2800",
            "fax_number": "818-363-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18541 SHERMAN WAY",
            "address_2": "#101",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "91335",
            "telephone_number": "818-996-9479",
            "fax_number": "818-363-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHABAN AZAR FARR, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "FARR",
        "authorized_official_first_name": "SHABAN",
        "authorized_official_middle_name": "AZAR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-360-2800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A32840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oksana Sementchouk
• Parviz Paris Servatjoo
• Set Wave Physical Therapy
• Natalie Nvart Sexenian, PHYSICIAN ASSISTANT
• Mina Shaafi
• Shabnam Melamed, DDS, PC
• Shaghayegh Habibi Inc
• Michelle Shahisaman, DDS
• Marat Nadirovich Shamsutdinov, MD
• Meir Shamy, DDS

• General Practice Physician in Reseda, CA
• Providers in Reseda, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.