MRS. SHIVA FARAHVASHI


Address: 450 N. Bedord Dr. Ste 209, Beverly Hills, CA 90210-4306
Phone: 5164045109

MRS. SHIVA FARAHVASHI (NPI# 1396071908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396071908
Entity Type Individual
Full Name MRS. SHIVA FARAHVASHI
Credential PA
Practice Address 450 N. Bedord Dr. Ste 209
Beverly Hills
CA 90210-4306
Mailing Address 16661 Ventura Blvd
Ste 824
Encino
CA 91436-4802
Practice Telephone 5164045109
Practice Fax Number 3233706817
Mailing Telephone 8187844100
Enumeration Date 2009-11-02
Last Update Date 2018-12-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
20575 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 450 N. BEDORD DR. STE 209
City BEVERLY HILLS
State CA
Zip Code 90210-4306

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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679714620 Adam Hall Physician Assistant 99 N La Cienega Blvd Ste 200, Beverly Hills, CA 90211-2285 2009-03-20
1477707453 Gina Eun Bae Physician Assistant 435 N Bedford Dr Ste 312, Beverly Hills, CA 90210-4314 2008-11-04
1336176304 Valerie Anne Luethge Stern Physician Assistant 150 N Robertson Blvd Ste 304, Beverly Hills, CA 90211-2145 2006-06-27
1104467596 Randee Shapiro Physician Assistant 8767 Wilshire Blvd Fl 3, Beverly Hills, CA 90211-2714 2019-10-07
1265093926 Diana Boktor Physician Assistant 8501 Wilshire Blvd Ste 150, Beverly Hills, CA 90211-3148 2019-06-24
1477046456 Michael Alexander Martone Physician Assistant 239 S La Cienega Blvd Ste 100, Beverly Hills, CA 90211-3355 2018-06-13
1730601162 Michael William-mulligan Wille Physician Assistant 17877 W 14 Mile Rd, Beverly Hills, MI 48025 2017-07-07
1255851259 Hind Fakhoury Physician Assistant 8501 Wilshire Blvd Ste 150, Beverly Hills, CA 90211 2017-06-21
1588017693 Jennifer Rebecca Afari Physician Assistant 240 S La Cienega Blvd, Beverly Hills, CA 90211-3324 2016-07-14
1760877666 Chanel Gordon Physician Assistant 8500 Wilshire Blvd, Beverly Hills, CA 90211-3121 2015-03-30
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Competitor

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City BEVERLY HILLS
Zip Code 90210

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Dataset Information

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.

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