Active NPI
Fariba Shokoohy, M.D.
- General Practice Physician
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A93966
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Celebrating Life Community Health Center | Current | Accepting new patients | |
| GN Medical Associates, Inc. | Past | 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
- fshokoohy11040@altamed.direct-ci.com
- 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.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
-
- Federally Qualified Health Center (FQHC)
- Mission Viejo, CA
- NPI 1386273100
-
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1275576522
-
- Emergency Care Clinic/Center
- Huntington Beach, CA
- NPI 1437254273
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1255523643
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.