Farhad Keliddari (NPI# 1750595682, PAC ID# 4587746458) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1750595682 |
| PAC ID by PECOS | 4587746458 |
| Professional Enrollment ID | I20080130000812 |
| Full Name | Farhad Keliddari |
| Organization Legal Name | OROVILLE HOSPITAL |
| Address |
12411 W Fielding Cir Apt 2518 Playa Vista CA 90094-2570 |
| Phone Number | 8556877237 |
| Gender | M |
| Medical School | NEW YORK MEDICAL COLLEGE |
| Graduation Year | 2001 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1254234339 |
| Number of Group Practice Members | 75 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490024 | CARILION MEDICAL CENTER |
| 050030 | OROVILLE HOSPITAL |
| 390231 | ABINGTON MEMORIAL HOSPITAL |
| 340021 | CAROLINAS HEALTHCARE SYSTEM CLEVELAND |
| 490042 | CARILION NEW RIVER VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1531 Esplanade, Chico, CA 95926-3310 | 5303327300 | ENLOE MEDICAL CENTER |
| 19 Canopy, Irvine, CA 92603-0656 | 8556877237 | DIRECT RADIOLOGY PLLC |
| 2940 Patcham Cmn, Livermore, CA 94550-2006 | 8556877237 | RADIOLOGY CONSULTANTS OF LYNCHBURG INC |
| 12411 W Fielding Cir, Apt 2518, Playa Vista, CA 90094-2570 | 8556877237 | OROVILLE HOSPITAL |
| 12411 W Fielding Cir, Apt 2518, Playa Vista, CA 90094-2570 | 855687723711115 | RADIOLOGY GROUP OF ABINGTON PC |
| 12411 W Fielding Cir, Apt 2518, Playa Vista, CA 90094-2570 | SOUTH FLORIDA MEDICAL IMAGING PA | |
| 12411 W Fielding Cir, Apt 2518, Playa Vista, CA 90094-2570 | MEDICAL IMAGING ASSOC OF IDAHO FALLS PA | |
| 12411 W Fielding Cir, Apt 2518, Playa Vista, CA 90094-2570 | DIRECT RADIOLOGY PLLC | |
| 12411 W Fielding Cir, Apt 2518, Playa Vista, CA 90094-2570 | 4065878631 | INTERCITY RADIOLOGY PC |
| 1325 Pacific Hwy 3204, San Diego, CA 92101-2595 | 8556877237 | DIRECT RADIOLOGY PLLC |
| 877 Island Ave, Suite 905, San Diego, CA 92101-7154 | 7044823880 | SHELBY RADIOLOGICAL ASSOCIATES, PA |
| Organization Legal Name | OROVILLE HOSPITAL |
| Physicians | 64 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William J Rusnak | Diagnostic Radiology | Oroville Hospital | 2020 Walnut St Apt, 29l William T Randazzo Md, Philadelphia, PA 19103-5600 |
| Shameem P Azizad | Diagnostic Radiology | Oroville Hospital | 5001 Evidence Cv, Lillian W Cavin Md, Spicewood, TX 78669-6442 |
| John W Boardman | Diagnostic Radiology | Oroville Hospital | 1110 Chapin St, Beloit, WI 53511-6472 |
| Kyle J Henneberry | Diagnostic Radiology | Oroville Hospital | 15734 Ne 117th St, Redmond, WA 98052-2298 |
| Asti Pilika | Diagnostic Radiology | Oroville Hospital | 520 Lunalilo Home Rd, Unit 6308, Honolulu, HI 96825-1748 |
| Anjali Roy | Diagnostic Radiology | Oroville Hospital | 6164 N Pinnacle Ridge Dr, Tucson, AZ 85718-3503 |
| Jeffrey W Grossman | Diagnostic Radiology | Oroville Hospital | 8611 W Eagle Ridge Rd, Coeur D Alene, ID 83814-9565 |
| Cynthia Caskey Oberfelder | Diagnostic Radiology | Oroville Hospital | 2053 Loganberry Dr, Fayetteville, NC 28304-0804 |
| Margaret Kang | Diagnostic Radiology | Oroville Hospital | 1021 Broad Branch Ct, Mc Lean, VA 22101-2140 |
| Shree J Shah | Diagnostic Radiology | Oroville Hospital | 2537 Sw Park Meadows Trl, Palm City, FL 34990-7944 |
| Street Address |
12411 W FIELDING CIR APT 2518 |
| City | PLAYA VISTA |
| State | CA |
| Zip | 90094-2570 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vladislav Melnichenko | Nurse Practitioner | Silicon Beach Medical Center Inc. | 5450 Lincoln Blvd, Los Angeles, CA 90094-2002 |
| Marina Nikiforova | Chiropractic | 5450 Lincoln Blvd, Playa Vista, CA 90094-2002 | |
| Nooshin Ahmadvand | Physical Therapy | 13036 Villosa Pl, Playa Vista, CA 90094-2106 | |
| Neyda Brodnansky | Nurse Practitioner | Beach Cities Urgent Care Center | 6020 Seabluff Dr Unit, Suite 1, Playa Vista, CA 90094-2211 |
| Luke Conovaloff | Emergency Medicine | Beach Cities Urgent Care Center | 6020 Seabluff Dr Unit, Suite 1, Playa Vista, CA 90094-2211 |
| Jonathan L Velasquez | Family Medicine | Beach Cities Urgent Care Center | 6020 Seabluff Dr Unit, Suite 1, Playa Vista, CA 90094-2211 |
| Clarissa M Caballero | Nurse Practitioner | Beach Cities Urgent Care Center | 6020 Seabluff Dr Unit, Suite 1, Playa Vista, CA 90094-2211 |
| Paul D Heiderscheidt | Family Medicine | Beach Cities Urgent Care Center | 6020 Seabluff Dr Unit, Suite 1, Playa Vista, CA 90094-2211 |
| Kay Hooshmand | Family Medicine | Beach Cities Urgent Care Center | 6020 Seabluff Dr Unit, Suite 1, Playa Vista, CA 90094-2211 |
| Jennifer A Cullen | Nurse Practitioner | Beach Cities Urgent Care Center | 6020 Seabluff Dr Unit, Suite 1, Playa Vista, CA 90094-2211 |
| Find all physicians in zip 90094 | |||
| City | PLAYA VISTA |
| Zip Code | 90094 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | PLAYA VISTA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Farhad Keliddari.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.