FARZAD ADIB
NPI 1558745869
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since July 16, 2015PECOS EnrolledAccepts Medicare Assignment
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073(310) 478-3711 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 21, 2022, Nov 9, 2020, Jan 29, 2019 (3 updates tracked since 2019).

About Farzad Adib NPPES

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

FARZAD ADIB (NPI 1558745869) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rancho Mirage, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1558745869
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameFARZAD ADIB
Location Address11301 WILSHIRE BLVDLos Angeles, CA 90073-1003
Mailing Address720 Hilgard Ave Unit 315Los Angeles, CA 90024-4260
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 16, 2015
Last NPPES UpdateNovember 21, 20223 updates tracked since enumeration
NPPES CertifiedNovember 7, 2020
NPI 1558745869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11301 WILSHIRE BLVD, Los Angeles, CA 90073

Secondary Practice Location 1

Location 139000 Bob Hope Dr, ACHS-GME OfficeRancho Mirage, CA 92270-3221 · Phone (760) 773-2036

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Farzad Adib is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022373307
PECOS Enrollment IDI20200504001769
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 20

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

Licensed Vocational Nurse
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Social Worker
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Social Worker
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Social Worker (Clinical)
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Dietitian, Registered
11301 WILSHIRE BLVD, BUILDING 213. 3RD FLOOR. ROOM 317.
LOS ANGELES, CA 90073
Internal Medicine
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Social Worker (Clinical)
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073
Social Worker
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073

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 Farzad Adib's NPI number?

The NPI number for Farzad Adib is 1558745869. It was assigned to this individual provider in the NPPES registry on July 16, 2015.

Where is Farzad Adib located?

Farzad Adib practices at 11301 Wilshire Blvd, Los Angeles, CA 90073. The listed phone number is (310) 478-3711.

What is Farzad Adib's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Farzad Adib enrolled in Medicare?

Yes. Farzad Adib is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Farzad Adib was last updated on November 21, 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.