Individual provider Active NPI

Fariba Shokoohy, M.D.

  • General Practice Physician
  • Santa Ana, CA
National Provider Identifier
1962694869
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A93966 Issued in CA
Practice address
1002 N Fairview St
Santa Ana, CA 92703-1811
Phone
(714) 835-8501
Fax
(714) 619-8770
NPI assigned
Aug 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A93966 CA Primary

Addresses

Primary practice location

1002 N Fairview St
Santa Ana, CA 92703-1811

Mailing address

1002 N Fairview St
Santa Ana, CA 92703-1811
Phone (714) 436-4716

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
I20071016000106 CA Practitioner - Family Practice 9335235787 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Aug 26, 2018 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Aug 26, 2018 Accepting new patients
Celebrating Life Community Health Center Current Accepting new patients
GN Medical Associates, Inc. PastSince Apr 1, 2007 Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Huntington Beach Medical Group Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

8311 Florence Ave
Downey, CA 90240
Phone (310) 923-4911

3501 S Harbor Blvd
Santa Ana, CA 92704
Phone (714) 784-1658

1002 N Fairview St
Santa Ana, CA 92703
Phone (714) 332-1069

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: fshokoohy11040@altamed.direct-ci.com
  • Direct secure messaging: faribashokoohy@clchc.allscriptsdirect.net

Organizations & group practices 6

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": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1962694869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 N FAIRVIEW ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927031811",
            "telephone_number": "714-436-4716",
            "fax_number": "714-619-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N FAIRVIEW ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927031811",
            "telephone_number": "714-835-8501",
            "fax_number": "714-619-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOKOOHY",
        "first_name": "FARIBA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A93966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.