FARSHAD NOWZARI, MD INC (NPI# 1700294386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700294386 |
| Entity Type | Organization |
| Organization Name | FARSHAD NOWZARI, MD INC |
| Other Organization Name | SOCAL ADVANCED UROLOGY |
| Practice Address |
1141 W Redondo Beach Blvd Suite #303 Gardena CA 90247-3586 |
| Practice Telephone | 3105382930 |
| Practice Fax Number | 3105382932 |
| Mailing Telephone | 3105382930 |
| Mailing Fax Number | 3105382932 |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-07-28 |
| Authorized Official Name | DR. FARSHAD NOWZARI (PHYSICIAN/ MANAGING PARTNER) |
| Authorized Official Telephone | 3105382930 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | FARSHAD NOWZARI, MD INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | A75966 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SoCal Advanced Urology | Doing Business As Name - Organization |
| Street Address |
1141 W REDONDO BEACH BLVD SUITE #303 |
| City | GARDENA |
| State | CA |
| Zip Code | 90247-3586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457359291 | Keerthi R De Silva | Specialist | 1141 W Redondo Beach Blvd, Suite 107, Gardena, CA 90247-3586 | 2005-07-13 |
| 1730596917 | Melanie Zielomski | Physician Assistant | 1141 W Redondo Beach Blvd, Suite 308, Gardena, CA 90247-3586 | 2014-07-19 |
| 1720418890 | Chinette Salveron | Nurse Practitioner | 1141 W Redondo Beach Blvd, Suite 104, Gardena, CA 90247-3586 | 2013-11-26 |
| 1790083889 | Donald B Miller, M.d. A Professional Corp. | Neurological Surgery | 1141 W Redondo Beach Blvd, 406, Gardena, CA 90247-3586 | 2011-03-14 |
| 1306143011 | John Williams, M.d., Inc. | Internal Medicine | 1141 W Redondo Beach Blvd, #309, Gardena, CA 90247-3586 | 2011-02-15 |
| 1376853655 | William Essilfie, M.d., Inc. | Internal Medicine | 1141 W Redondo Beach Blvd, Suite 307, Gardena, CA 90247-3586 | 2010-10-20 |
| 1528376183 | Michelle Simkin | Nurse Practitioner | 1141 W Redondo Beach Blvd, Gardena, CA 90247-3586 | 2010-09-16 |
| 1912212739 | Owen L. Robinson Md, A Medical Corporation | Internal Medicine | 1141 W Redondo Beach Blvd, Ste 400, Gardena, CA 90247-3586 | 2010-08-17 |
| 1093954018 | Juan Mocega Md Inc | Pediatrics | 1141 W Redondo Beach Blvd, Suite 308, Gardena, CA 90247-3586 | 2009-02-14 |
| 1093964132 | Martin L. Smith, Dpm, Corp. | Clinic/Center | 1141 W Redondo Beach Blvd, Suite 200, Gardena, CA 90247-3586 | 2008-09-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204707 | Melissa Reyes | Home Health Aide | 835 N Rosecrans Ave Apt 125, Gardena, CA 90247 | 2020-10-30 |
| 1538645569 | Christopher Jabarie Markham | Case Manager/Care Coordinator | 12817 S Hoover St Apt 14, Gardena, CA 90247 | 2018-07-12 |
| 1013404243 | Sunshine Community Resource Organization Center | Counselor | 1202 W 135th Street, Gardena, CA 90247 | 2018-04-13 |
| 1124537261 | Nina Vu | Pharmacist | 14416 Plum Lane, Unit 3, Gardena, CA 90247 | 2017-09-20 |
| 1356871008 | Delaram Moshfegh | Pharmacist | 1735 Artesia Blvd, Gardena, CA 90247 | 2017-06-15 |
| 1497290522 | Better Vision Optical | Eyewear Supplier (Equipment, not the service) | 1121 W Gardena Blvd Ste A, Gardena, CA 90247 | 2016-12-28 |
| 1013394832 | Lydia Gonzalez | Case Management | 13605 S Vermont Ave Apt 16, Gardena, CA 90247 | 2015-04-30 |
| 1396147682 | Daniel Medical Group, Inc. | Acupuncturist | 2015 W Redondo Beach Blvd., Ste F, Gardena, CA 90247 | 2014-09-18 |
| 1386913663 | Linda Doreen Humphries | Nurse Practitioner | 1141 W. Redondo Beach Blvd., Suite 402, Gardena, CA 90247 | 2011-12-15 |
| 1215229547 | Everett D Wong | Social Worker | 1045 W Redondo Beach Blvd Ste 150, Gardena, CA 90247 | 2011-05-04 |
| Find all providers in zip 90247 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598954166 | Yuichi Ito, M.d., Inc. | Urology | 1141 W Redondo Beach Blvd, 303, Gardena, CA 90247-3586 | 2007-10-19 |
| 1689741423 | Farshad B Nowzari | Urology | 1141 W Redondo Beach Blvd, Suite# 303, Gardena, CA 90247-3586 | 2006-11-29 |
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| 1457997645 | David G Song Md Inc | Urology | 5365 Walnut Avenue Ste A, Chino, CA 91710-9171 | 2019-11-21 |
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| 1598318461 | Khoddami Medical Group Inc | Urology | 2705 Loma Vista Rd Ste 206, Ventura, CA 93003-1584 | 2019-07-19 |
| 1942760293 | Adventist Health Physicians Network | Urology | 2701 Chester Ave # 102, Bakersfield, CA 93301-2016 | 2019-03-22 |
| 1699233361 | Orange Coast Medical, A Medical Corporation | Urology | 10900 Warner Ave Ste 121, Fountain Valley, CA 92708-3846 | 2019-03-12 |
| 1891268389 | John Joseph Granato Jr. | Urology | 333 Cumberland Rd, Glendale, CA 91202-1256 | 2019-01-07 |
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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.