FARID YASHARPOUR M.D. NPI 1073505764

NPI Information

  • NPI: 1073505764
  • Provider Name: FARID YASHARPOUR, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 05D2311009
  • Address: 14671 RINALDI ST
    SAN FERNANDO, CA
    ZIP 91340
  • Phone: (818) 270-9030

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NPI Details

Farid Yasharpour, M.D. is a specialist in San Fernando, CA with 30 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Farid Yasharpour, M.D. NPI is 1073505764. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
Graduation Year:1996

The provider's business location address is:

14671 RINALDI ST
SAN FERNANDO, CA
ZIP 91340-199
Phone: (818) 270-9030
Fax: (818) 270-9039

The NPI 1073505764 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 05D2311009 - other - clinical research clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/18/2005 and was last updated on 12/17/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistA65312CALIFORNIAYes
2208000000XPediatricsA065312CALIFORNIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A653120OTHERCALIFORNIAP10
2H60183MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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