DR. FARHAD KELIDDARI (NPI# 1750595682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750595682 |
| Entity Type | Individual |
| Full Name | DR. FARHAD KELIDDARI |
| Credential | M.D. |
| Practice Address |
837 18th St Unit 1 Santa Monica CA 90403-6710 |
| Mailing Address |
11995 Singletree Ln Suite 500 Eden Prairie MN 55344-5347 |
| Practice Telephone | 9525951100 |
| Practice Fax Number | 6122944903 |
| Mailing Telephone | 9525951301 |
| Mailing Fax Number | 6122944903 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2015-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
13712 | NH | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A80767 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
837 18TH ST UNIT 1 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90403-6710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427520972 | Isobel Gardner | Marriage & Family Therapist | 2730 Wilshire Boulevard #650, Santa Monica, CA 90403 | 2018-12-21 |
| 1477030369 | Jennifer Garcia | Dentist | 2901 Wilshire Blvd Ste 255, Santa Monica, CA 90403 | 2018-07-23 |
| 1215435847 | The Balance Lab Physical Therapy and Fitness | Physical Therapist | 2924 Wilshire Blvd, Santa Monica, CA 90403 | 2018-01-29 |
| 1306354634 | Sea Change Santa Monica, Lp | Clinic/Center | 1051 Princeton St, Santa Monica, CA 90403 | 2018-01-22 |
| 1114446226 | Jafary Foot & Ankle Specialists LLC | Podiatrist | 2121 Wilshire Blvd Ste 101, Santa Monica, CA 90403 | 2017-09-11 |
| 1023553906 | Jory Faermark | Speech-Language Pathologist | 1158 26th Street, #417, Santa Monica, CA 90403 | 2016-12-30 |
| 1376095042 | William Michael Thornton | Chiropractor | 2118 Wilshire Blvd, #577, Santa Monica, CA 90403 | 2016-10-28 |
| 1801251723 | Lisa Lavoie | Naturopath | 1-935 Euclid St, Santa Monica, CA 90403 | 2015-12-18 |
| 1376915793 | Lisa Hanes | Marriage & Family Therapist | 1150 Yale Street, Suite 2, Santa Monica, CA 90403 | 2015-10-25 |
| 1386015386 | Natalie Kazarian | Marriage & Family Therapist | 2116 Wilshire Blvd Ste 241, Santa Monica, CA 90403 | 2015-10-15 |
| Find all providers in zip 90403 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184987513 | Jeffrey Rappleye | Radiology | 2336 Santa Monica Blvd Ste 206, Santa Monica, CA 90404-2938 | 2012-06-20 |
| 1689953648 | John M Uszler Md A Medical Corporation | Radiology | 1243 Franklin St, Unit 1, Santa Monica, CA 90404 | 2011-08-09 |
| 1710159447 | Jane Dascalos | Radiology | 1245 16th St Ste 100, Santa Monica, CA 90404-1255 | 2008-04-02 |
| 1497942106 | Panayota S Roumanis | Radiology | 1420 5th St Apt 604, Santa Monica, CA 90401-4414 | 2007-09-26 |
| 1184814006 | Andrew Paul Thierry | Radiology | 492 E Channel Rd, Santa Monica, CA 90402-1339 | 2007-07-26 |
| 1124161872 | Lloyd David Wagner | Radiology | 223 24th St, Santa Monica, CA 90402-2515 | 2007-02-14 |
| 1730192063 | Bryan L. Winkler | Radiology | 834 2nd St, Apt. 14, Santa Monica, CA 90403 | 2006-08-15 |
| 1487684379 | Robert Burnham Lufkin | Radiology | 2461 Santa Monica Blvd # 108, Santa Monica, CA 90404-2138 | 2006-07-04 |
| 1518995141 | Edward Zaragoza | Radiology | 1250 16th St # 2340, Santa Monica, CA 90404-1249 | 2006-06-30 |
| 1740230291 | Anne Christine Hoyt | Radiology | 1260 15th St Ste 111, Santa Monica, CA 90404-1136 | 2006-05-12 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90403 |
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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.