Individual provider Active NPI

Shahbaz A. Farnad, M.D.

  • Interventional Pain Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1992080618
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A1496336 Issued in CA
Practice address
5757 Wilshire Blvd Ste PR2
Los Angeles, CA 90036-3689
Phone
(323) 433-7744
Fax
(323) 433-7716
NPI assigned
Oct 13, 2011
Last updated
May 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 125059273 IL
Pain Medicine (Anesthesiology) Physician 207LP2900X 274946 NY
Interventional Pain Medicine Physician 208VP0014X A1496336 CA Primary

Addresses

Primary practice location

5757 Wilshire Blvd Ste PR2
Los Angeles, CA 90036-3689

Mailing address

5757 Wilshire Blvd Ste PR2
Los Angeles, CA 90036-3689
Phone (323) 433-7744

Other practice location 1

5757 Wilshire Blvd Ste Pr6
Los Angeles, CA 90036-3689
Phone (323) 433-7744

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
I20181116001877 CA Practitioner - Pain ManagementPractitioner - Anesthesiology 6406160068 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shahbaz Farnad MD Professional CorporationGroup PAC ID 0446504096, 2 clinicians

Practice addresses (Care Compare)

5757 Wilshire Blvd
Suite PR2
Los Angeles, CA 90036-3689
Phone (323) 433-7744

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125059273ILMDAnesthesiology Physician
A1496336CAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Farnad Medical Corporation Anesthesiology CurrentSince Sep 1, 2020 Accepting new patients
California Anesthesia Associates Medical Group, Inc. Anesthesiology CurrentSince Mar 13, 2019 Accepting new patients
Shahbaz Farnad MD Professional Corporation Pain Medicine CurrentSince Sep 10, 2018 Accepting new patients

Locations

24451 Health Center Dr
#104
Laguna Hills, CA 92653

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

2880 Atlantic Ave
Ste 160
Long Beach, CA 90806
Phone (562) 453-3814

5757 Wilshire Blvd
Ste PR2
Los Angeles, CA 90036
Phone (310) 285-9612

2299 Post St
Ste 108
San Francisco, CA 94115
Phone (415) 923-3770

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1992080618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 WILSHIRE BLVD STE PR2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363689",
            "telephone_number": "323-433-7744",
            "fax_number": "323-433-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WILSHIRE BLVD STE PR2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363689",
            "telephone_number": "323-433-7744",
            "fax_number": "323-433-7716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5757 Wilshire Blvd Ste Pr6",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900363689",
            "country_code": "US",
            "telephone_number": "323-433-7744",
            "fax_number": "323-433-7716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARNAD",
        "first_name": "SHAHBAZ",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-13",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "125059273",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "274946",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A1496336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.