ABDUL S. FARZIN M.D., INC (NPI# 1154467561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154467561 |
| Entity Type | Organization |
| Organization Name | ABDUL S. FARZIN M.D., INC |
| Practice Address |
36243 Inland Valley Dr Suite 240 Wildomar CA 92595-9549 |
| Practice Telephone | 9516000640 |
| Practice Fax Number | 9516008142 |
| Mailing Telephone | 9516000640 |
| Mailing Fax Number | 9516008142 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-12-19 |
| Authorized Official Name | DR. ABDUL S. FARZIN (PHYSICIAN) |
| Authorized Official Telephone | 9516000640 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A53334 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | A53334 | 01 |
| CA | DEA NUMBER | BF4088921 | 01 |
| Street Address |
36243 INLAND VALLEY DR SUITE 240 |
| City | WILDOMAR |
| State | CA |
| Zip Code | 92595-9549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405142 | Mohammad Kaleem Uddin | Neurological Surgery | 36243 Inland Valley Dr, Ste 210, Wildomar, CA 92595-9549 | 2005-05-23 |
| 1063074904 | Jaelynne Michelle Allen | Nurse Practitioner | 36243 Inland Valley Dr, Wildomar, CA 92595-9549 | 2019-07-01 |
| 1780037432 | Mission Surgical Group | Clinic/Center | 36243 Inland Valley Dr, Suite 280, Wildomar, CA 92595-9549 | 2016-07-18 |
| 1013373398 | Danielle Merchant Martin | Nurse Practitioner | 36243 Inland Valley Dr, Wildomar, CA 92595-9549 | 2016-01-03 |
| 1386064624 | Rochester Imperial Surgical Center LLC | Clinic/Center | 36243 Inland Valley Dr, Ste 10, Wildomar, CA 92595-9549 | 2014-04-25 |
| 1992125231 | Kensington Diagnostics LLC | Clinical Medical Laboratory | 36243 Inland Valley Dr, Ste 10, Wildomar, CA 92595-9549 | 2014-04-25 |
| 1235431172 | Inscriptions Children's Clinic | Clinic/Center | 36243 Inland Valley Dr, Suite #80, Wildomar, CA 92595-9549 | 2010-11-29 |
| 1043445208 | Reliance Best Pharmacy LLC | Pharmacy | 36243 Inland Valley Dr, #130, Wildomar, CA 92595-9549 | 2009-05-18 |
| 1801088869 | Joan Amador | Marriage & Family Therapist | 36243 Inland Valley Dr, Suite 50, Wildomar, CA 92595-9549 | 2007-08-14 |
| 1053465625 | Carmeleene Suarez Baguio | Registered Nurse | 36243 Inland Valley Dr, 110, Wildomar, CA 92595-9549 | 2007-01-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184190845 | Amber Nicole Salgado | Licensed Vocational Nurse | 33685 Harvest Way East, Wildomar, CA 92595 | 2018-10-22 |
| 1417448168 | Inland Valley Trauma and Acute Care Surgery Apc Inc | Surgery | 36320 Inland Valley Dr Ste 101a, Wildomar, CA 92595 | 2018-05-29 |
| 1033636311 | Omar H Nael | Behavioral Analyst | 35925 Susan Dr, Wildomar, CA 92595 | 2017-08-27 |
| 1023535820 | Dennis Bonavilla | Specialist/Technologist, Other | 34859 Frederick Street, Suite 112, Wildomar, CA 92595 | 2017-08-23 |
| 1578965901 | Purnima K Patel M.d Inc | Internal Medicine | 32423 Inland Valley Dr. Ste 160, Wildomar, CA 92595 | 2014-09-17 |
| 1740523133 | Jerry Zhong Yu | Internal Medicine | 36320 Inland Valley Dr Ste 308, Wildomar, CA 92595 | 2013-04-03 |
| 1871859553 | Norman Orr | Internal Medicine | 36485 Valley Medical Center, Wildomar, CA 92595 | 2012-04-06 |
| 1902190226 | Brian Patrick Tiu | Surgery | 36320 Inland Valley Dr Ste 101, Wildomar, CA 92595 | 2011-06-03 |
| 1508013897 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 24335 Prielipp Rd Bldg A, Ste 116, Wildomar, CA 92595 | 2008-08-19 |
| 1760604383 | Nasko Lubenov Atanassov | Physical Therapist | 36485 Inland Valey Drive, Wildomar, CA 92595 | 2007-05-03 |
| Find all providers in zip 92595 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831196112 | Vu H. Tinh | Family Medicine | 36450 Inland Valley Drive, Wildomar, CA 92595 | 2005-07-01 |
| 1699049924 | Milton Rafael Ramirez | Family Medicine | 36450 Inland Valley Dr, Wildomar, CA 92595-9583 | 2012-03-05 |
| 1871883215 | Franky Phillip Hasibuan | Family Medicine | 36450 Inland Valley Dr, Wildomar, CA 92595-9583 | 2011-04-19 |
| 1629383534 | Fernando Palacios | Family Medicine | 36485 Inland Valley Dr, Wildomar, CA 92595-9681 | 2010-08-16 |
| 1487981569 | Anh Ngoc Brewer | Family Medicine | 36450 Inland Valley Dr, Wildomar, CA 92595-9583 | 2009-11-10 |
| 1093807984 | Abdul Salam Farzin | Family Medicine | 36243 Inland Valley Dr, Suite240, Wildomar, CA 92595-9549 | 2006-09-28 |
| 1245341460 | Marcella A Bonnici | Family Medicine | 36320 Inland Valley Dr, Suite 206, Wildomar, CA 92595-7512 | 2006-08-31 |
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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.