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DR. FARAZ YOUSEFIAN DO
NPI 1508432204
General Practice in San Antonio, TX

Active since June 02, 2021PECOS Enrolled
4301 BROADWAY # 121, SAN ANTONIO, TX 78209(310) 359-2912 Get Directions Write a Review

NPPES record last updated: November 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 6, 2022, Jun 2, 2021 (2 updates tracked since 2021).

About Dr. Faraz Yousefian Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. FARAZ YOUSEFIAN DO (NPI 1508432204) is an individual general practice provider in San Antonio, Texas, licensed in Florida (19204) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1508432204
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. FARAZ YOUSEFIANCredential: DO
Location Address4301 BROADWAY # 121San Antonio, TX 78209-6318
Mailing Address401 Se 3rd Ave Apt EHallandale Beach, FL 33009-6467 · (310) 359-2912
Phone(310) 359-2912
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 2, 2021
Last NPPES UpdateNovember 6, 20222 updates tracked since enumeration
NPPES CertifiedNovember 6, 2022
✔ NPI 1508432204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · 19204
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4301 BROADWAY # 121, San Antonio, TX 78209
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Faraz Yousefian Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597244855
PECOS Enrollment IDI20260209002614
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALEXANDRA TREVINO DO
Student in an Organized Health Care Education/Training Program
4301 BROADWAY # 121
SAN ANTONIO, TX 78209
Bexar County (210) 619-7105
DR. ELHAM IRAN POUR MD
Student in an Organized Health Care Education/Training Program
4301 BROADWAY # 121
SAN ANTONIO, TX 78209
Bexar County (210) 619-7105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Faraz Yousefian's NPI number?

The NPI number for Faraz Yousefian is 1508432204. It was assigned to this individual provider in the NPPES registry on June 2, 2021.

Where is Faraz Yousefian located?

Faraz Yousefian practices at 4301 Broadway # 121, San Antonio, TX 78209. The listed phone number is (310) 359-2912.

What is Faraz Yousefian's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Faraz Yousefian enrolled in Medicare?

Yes. Faraz Yousefian is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Faraz Yousefian was last updated on November 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.