Farridah Shafiee DO Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FARRIDAH SHAFIEE DO INC

Practice address

135 Macaw LN
Simi Valley, CA 93065-3153

Phone

(805) 210-2424

NPI assigned

Dec 21, 2021

Organization subpart

No

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

Authorized official

Name

Marissa Rivera, MBA

Title

Practice Manager

Phone

(805) 216-8261

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25566/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.

• Farridah Shafiee, D.O.

  • Internal Medicine Physician
  • Simi Valley, CA
  • NPI 1538199765
  Medicare reassignment NPD

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1942960745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 MACAW LN",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653153",
            "telephone_number": "805-210-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 MACAW LN",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653153",
            "telephone_number": "805-210-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARRIDAH SHAFIEE DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "805-216-8261",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "Mailing address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Mailing",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Mailing address",
            "address_1": "135 Macaw Ln",
            "city": "Simi Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930653153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Faithful Hospice Care, Inc.
• Shima Famenini, PHARM.D.
• Neil Anthony Fanning, DDS
• Michael G Faragallah
• Arrash Fard, M.D.
• Arsenio Eugenio Usi Favor III, PT
• Courtney Fazli, LMFT
• Michael James Fealy, MD
• Yara Felder, BCBA
• Maurice Feldman, OD

• Internal Medicine Physician in Simi Valley, CA
• Providers in Simi Valley, 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 Dec 21, 2021; 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.