PAYAM FARJOODI MD INC (NPI# 1104188176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104188176 |
| Entity Type | Organization |
| Organization Name | PAYAM FARJOODI MD INC |
| Practice Address |
11160 Warner Ave Fountain Valley CA 92708-4008 |
| Practice Telephone | 7148507300 |
| Practice Fax Number | 7149577348 |
| Mailing Telephone | 7148507300 |
| Mailing Fax Number | 7149577348 |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2012-06-14 |
| Authorized Official Name | DR. PAYAM FARJOODI (PRESIDENT) |
| Authorized Official Telephone | 7148507300 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
A112479 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL LICENSE | A112479 | 01 |
| Street Address |
11160 WARNER AVE |
| City | FOUNTAIN VALLEY |
| State | CA |
| Zip Code | 92708-4008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396748240 | Steven Craig Chan | Dentist | 11160 Warner Ave, Ste 205, Fountain Valley, CA 92708-4048 | 2005-05-24 |
| 1275091183 | Elizabeth Nguyen | Physician Assistant | 11160 Warner Ave, Fountain Valley, CA 92708-4008 | 2019-03-10 |
| 1205295813 | Keith R Aceron, Dpm | Podiatrist | 11160 Warner Ave, Ste 109, Fountain Valley, CA 92708-4008 | 2016-02-11 |
| 1023405008 | Medical Center Dental Group | Dentist | 11160 Warner Ave, Suite 303, Fountain Valley, CA 92708-4008 | 2015-04-17 |
| 1740524958 | Alan T. Tran M.d., Inc | Specialist | 11160 Warner Ave, Suite 223, Fountain Valley, CA 92708-4008 | 2012-11-15 |
| 1255607982 | United Medical Radiology Network | Clinic/Center | 11160 Warner Ave, Suite 105, Fountain Valley, CA 92708-4008 | 2012-03-27 |
| 1750663126 | Brian R Riding | Physician Assistant | 11160 Warner Ave, Suite 311, Fountain Valley, CA 92708-4008 | 2011-09-12 |
| 1194003509 | Ju Gao | Anesthesiology | 11160 Warner Ave, Suite 417, Fountain Valley, CA 92708-4008 | 2011-08-02 |
| 1750670428 | United Medical Imaging Healthcare Inc. | Clinic/Center | 11160 Warner Ave, Suite 105, Fountain Valley, CA 92708-4008 | 2011-04-04 |
| 1699077438 | Melvyn H. Novegrod, M.d., Inc. | Urology | 11160 Warner Ave, 401, Fountain Valley, CA 92708-4008 | 2010-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716222 | Changing Directions Psychological Corporation | Psychologist | 17280 Newhope Street, Suite 4, Fountain Valley, CA 92708 | 2020-09-30 |
| 1124632757 | Neck & Back Pain Specialists, A Balta Chiropractic Corporation | Chiropractor | 10231 Slater Ave. #113, Fountain Valley, CA 92708 | 2020-09-01 |
| 1295205425 | Alexander Nee Dds Inc | Dentist | 337 S Rancho Santa Fe Rd, San Marcos, CA 92708 | 2018-11-30 |
| 1093293052 | Claudia Raquel Santos | Physical Therapist | 18384 Brookhurst Street, Fountain Valley, CA 92708 | 2018-08-01 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1992297881 | Ereny Abdelmalak Metry | Pharmacist | 9064 Daffodil Ave, Fountain Valley, CA 92708 | 2018-06-06 |
| 1144746348 | Goose Pharma, LLC | Pharmacy | 18049 Magnolia Street, Fountain Valley, CA 92708 | 2017-08-18 |
| 1932622347 | Mayra Alejandra Guerra | Social Worker | 18350 Mt Langley St, Suite 200, Fountain Valley, CA 92708 | 2017-07-18 |
| 1942722129 | Graph Surgery Inc | Plastic Surgery | 10760 Warner Ave, Ste 201, Fountain Valley, CA 92708 | 2017-07-10 |
| 1871022277 | Cathy A Castagna-petersen | Counselor | 10529 Slater Avenue, Fountain Valley, CA 92708 | 2017-06-08 |
| Find all providers in zip 92708 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144888348 | Borys Gvozdyev Md A Professional Medical Corporation | Orthopaedic Surgery | 18035 Brookhurst St # 1200, Fountain Valley, CA 92708-6738 | 2019-06-03 |
| 1598326076 | Keun-heng Huo, Md, Inc. | Orthopaedic Surgery | 18035 Brookhurst St Ste 1200, Fountain Valley, CA 92708-6738 | 2019-06-25 |
| 1306158506 | Keun-heng Huo | Orthopaedic Surgery | 18035 Brookhurst St, Ste 1200, Fountain Valley, CA 92708-6738 | 2010-07-06 |
| 1356664858 | Mitchell G Cohen Md Inc | Orthopaedic Surgery | 11160 Warner Ave, 305, Fountain Valley, CA 92708-4008 | 2010-03-11 |
| 1205085610 | Richard Yd Lin | Orthopaedic Surgery | 11190 Warner Ave, Suite 306, Fountain Valley, CA 92708-4019 | 2008-09-10 |
| 1467614735 | Christopher C. Ninh Md, Inc. | Orthopaedic Surgery | 11190 Warner Ave Ste 306, Fountain Valley, CA 92708-4047 | 2008-06-27 |
| 1841336385 | Payam Farjoodi | Orthopaedic Surgery | 11160 Warner Ave Ste 311, Fountain Valley, CA 92708-4055 | 2007-01-30 |
| 1851329874 | Zafar Saleem Khan | Orthopaedic Surgery | 11160 Warner Ave Ste 311, Fountain Valley, CA 92708-4055 | 2006-06-29 |
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| 1134681232 | Sca Care of Ca, LLC | Orthopaedic Surgery | 533 Airport Blvd Ste 420, Burlingame, CA 94010-2018 | 2019-04-05 |
| 1528557568 | James Alfred Aicardi | Orthopaedic Surgery | 3838 California St Rm 715, San Francisco, CA 94118-1509 | 2018-05-04 |
| 1457850661 | Ravi Ramachandran Md Inc | Orthopaedic Surgery | 2330 E Bidwell St Ste 100, Folsom, CA 95630-3897 | 2018-02-03 |
| 1659879906 | Total Joint Cin of Northern California | Orthopaedic Surgery | 533 Airport Blvd Ste 425, Burlingame, CA 94010-2018 | 2018-01-31 |
| 1588172936 | Select Health of Ca IIi, LLC | Orthopaedic Surgery | 2372a Morse Ave, Irvine, CA 92614-6234 | 2018-01-19 |
| 1578071924 | Coordinated Health of Ca IIi, LLC | Orthopaedic Surgery | 2372c Morse Ave, Irvine, CA 92614-6234 | 2018-01-19 |
| 1841708716 | Select Health of Ca II, LLC | Orthopaedic Surgery | 4275 Executive Sq Ste 200a, La Jolla, CA 92037-1476 | 2018-01-13 |
| Find all providers with the same taxonomy | ||||
| City | FOUNTAIN VALLEY |
| Zip Code | 92708 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.