Individual provider Active NPI

Fred Sahafi

  • Specialist
  • Bell Gardens, CA
National Provider Identifier
1992004055
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A52188 Issued in CA
Practice address
7916 Eastern Ave
Suite 102
Bell Gardens, CA 90201-5461
Phone
(562) 928-7060
Fax
(562) 928-7090
NPI assigned
Mar 15, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A52188 CA Primary

Addresses

Primary practice location

7916 Eastern Ave
Suite 102
Bell Gardens, CA 90201-5461

Mailing address

7916 Eastern Ave
Suite 102
Bell Gardens, CA 90201-5461
Phone (562) 928-7060

Other names 1

  • Dr. Fereydoun Sahafi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A52188CAMDSpecialist
52188CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1992004055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7916 EASTERN AVE",
            "address_2": "SUITE 102",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902015461",
            "telephone_number": "562-928-7060",
            "fax_number": "562-928-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7916 EASTERN AVE",
            "address_2": "SUITE 102",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902015461",
            "telephone_number": "562-928-7060",
            "fax_number": "562-928-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHAFI",
        "first_name": "FRED",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A52188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FEREYDOUN",
            "last_name": "SAHAFI",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bell Gardens, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.