FARSHID MOOSSAZADEH, M.D., A PROFESSIONAL CORPORATION (NPI# 1629685730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629685730 |
| Entity Type | Organization |
| Organization Name | FARSHID MOOSSAZADEH, M.D., A PROFESSIONAL CORPORATION |
| Practice Address |
11633 Hawthorne Blvd Ste 300 Hawthorne CA 90250-2369 |
| Practice Telephone | 3103551950 |
| Practice Fax Number | 3103551957 |
| Mailing Telephone | 3103551950 |
| Mailing Fax Number | 3103551957 |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | DR. FARSHID MOOSSAZADEH (PRESIDENT) |
| Authorized Official Telephone | 3103551950 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| N/A | Other Name - Individual/Organization |
| Street Address |
11633 HAWTHORNE BLVD STE 300 |
| City | HAWTHORNE |
| State | CA |
| Zip Code | 90250-2369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479627 | Alexis Lemmon | Dental Hygienist | 13450 Hawthrone Blvd, Hawthorne, CA 90250 | 2020-08-28 |
| 1336620459 | Lan Ngoc Ton | Dentist | 13450 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2018-08-27 |
| 1356829261 | Karneth Health Inc | Internal Medicine | 4512 W. Imperial Hwy, Ste B, Hawthorne, CA 90250 | 2018-08-02 |
| 1225524663 | Viridian Healthcare LLC | In Home Supportive Care | 13658 Hawthorne Blvd Ste 201, Hawthorne, CA 90250 | 2018-07-09 |
| 1235636044 | Sonia Medical Center Inc | Clinic/Center | 4512 W Imperial Hwy, Hawthorne, CA 90250 | 2018-04-09 |
| 1518484807 | Jessica Anne-marie Auzenne-harris | Nurse Practitioner | 12618 Hawthorne Blvd, Hawthorne, CA 90250 | 2017-08-28 |
| 1669993358 | Ololade Olamide Obafemi | Nurse Practitioner | 12954 Hawthorne Boulevard, Suite 104, Hawthorne Morningside Medical Clinic, Hawthorne, CA 90250 | 2017-07-03 |
| 1588194534 | Marissam Medical Inc. | Durable Medical Equipment & Medical Supplies | 13508 Inglewood Ave, Hawthorne, CA 90250 | 2017-06-13 |
| 1043751886 | Ogbonna Iwuamadi Olelewe | Nurse Practitioner | 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2017-03-13 |
| 1952758898 | La Shada Kai Martin | Contractor | 13010 Kornblum Ave, Unit D, Hawthorne, CA 90250 | 2016-05-20 |
| Find all providers in zip 90250 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194152348 | Patrick Popiel | Obstetrics & Gynecology | 19 Bradhurst Ave # S3750s, Hawthorne, NY 10532-2140 | 2013-10-02 |
| 1710250519 | P K Sehdeva Md A Professional Corporation | Obstetrics & Gynecology | 12321 Hawthorne Blvd., Hawthorne, CA 90250 | 2012-02-10 |
| 1871753376 | Gylynthia E. Trotman | Obstetrics & Gynecology | 40 Saw Mill River Rd Ste Ll-4, Hawthorne, NY 10532-1535 | 2008-06-10 |
| 1083751184 | Cara Louise Grimes | Obstetrics & Gynecology | 19 Bradhurst Ave Ste 2700, Hawthorne, NY 10532-2170 | 2007-01-30 |
| 1548293145 | Parkash K. Sehdeva | Obstetrics & Gynecology | 12321 Hawthorne Blvd, Suite A, Hawthorne, CA 90250-3808 | 2006-07-08 |
| 1497736847 | Timothy Edward Ryntz | Obstetrics & Gynecology | 19 Bradhurst Ave Ste 2700s, Hawthorne, NY 10532-2140 | 2005-11-10 |
| 1467454967 | Boston Children's Health Physicians, LLP | Obstetrics & Gynecology | 19 Skyline Dr Ofc 1n-d06, Hawthorne, NY 10532 | 2005-08-15 |
| 1083068258 | Anita Mikkilineni | Obstetrics & Gynecology | 19 Bradhurst Ave Ste 2750s, Hawthorne, NY 10532-2140 | 2016-04-14 |
| 1285989715 | Jose Juan Vicens-villafana | Obstetrics & Gynecology | 19 Bradhurst Ave, Suite 2700s, Hawthorne, NY 10532-2140 | 2012-07-20 |
| 1962700872 | Sorana Vrabie-wolf | Obstetrics & Gynecology | 19 Bradhurst Ave Ste 2700, Hawthorne, NY 10532-2170 | 2011-03-02 |
| Find all providers in HAWTHORNE | ||||
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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.