PANTEA FARHADI MD A MEDICAL CORPORATION
NPI 1689943946
Nurse Practitioner - Family in Los Angeles, CA

Active since December 15, 2011
8635 W 3RD ST STE 1065W, LOS ANGELES, CA 90048(818) 708-3750 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 16, 2026, Aug 13, 2024 (2 updates tracked since 2024).

About Pantea Farhadi Md A Medical Corporation NPPES

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

PANTEA FARHADI MD A MEDICAL CORPORATION (NPI 1689943946) is a healthcare organization registered as a family in Los Angeles, California and active in the NPI registry since December 2011. The organization lists Sorour Khalili, Psychiatrist, as its authorized official.

NPPES Registry Identity

NPI1689943946
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePANTEA FARHADI MD A MEDICAL CORPORATION
Location Address8635 W 3RD ST STE 1065WLos Angeles, CA 90048-4120
Mailing Address8635 W 3rd St Ste 1065wLos Angeles, CA 90048-6105 · (310) 483-9843
Organization SubpartNo
Authorized OfficialSorour KhaliliPsychiatrist · (818) 708-3750
Enumeration DateDecember 15, 2011
Last NPPES UpdateMarch 16, 20262 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1689943946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedLocal Education Agency (LEA)Taxonomy 251300000X
8635 W 3RD ST STE 1065W, Los Angeles, CA 90048

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pantea Farhadi Md A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20111216000075Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Pantea Farhadi MD A Medical Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Psychiatry
NPI 1104077726
8635 WEST 3RD STREET SUITE W 1065
Los Angeles, CA 90048
(310) 890-7598
✔ PECOSSame address
Nurse Practitioner
NPI 1952946956
3828 DELMAS TER
Culver City, CA 90232
(323) 404-7410
✔ PECOS✔ Accepts Medicare3.6 mi
Nurse Practitioner
NPI 1013771203
3828 DELMAS TER
Culver City, CA 90232
(310) 836-7000
✔ PECOS3.6 mi
Clinical Psychologist
NPI 1528008430
3834 HUGHES AVE #506
Culver City, CA 90232
(310) 280-9670
✔ PECOS✔ Accepts Medicare3.7 mi
Nurse Practitioner
NPI 1700017712
4023 MARINE AVE
Lawndale, CA 90260
(310) 508-8693
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1932608866
21651 VILLA PACIFICA CIR
Carson, CA 90745
(424) 469-7545
✔ PECOS18 mi
Nurse Practitioner
NPI 1245981208
433 S BANNA AVE
Covina, CA 91724
(626) 400-8059
✔ PECOS✔ Accepts Medicare30 mi
Nurse Practitioner
NPI 1073151916
801 FM 1463 RD # 200-257
Katy, TX 77494
(281) 562-9553
✔ PECOS✔ Accepts Medicare1,355 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Pantea Farhadi MD A Medical Corporation's NPI number?

The NPI number for Pantea Farhadi MD A Medical Corporation is 1689943946. It was assigned to this organization in the NPPES registry on December 15, 2011.

Where is Pantea Farhadi MD A Medical Corporation located?

Pantea Farhadi MD A Medical Corporation is located at 8635 W 3rd St Ste 1065W, Los Angeles, CA 90048. The listed phone number is (818) 708-3750.

What is Pantea Farhadi MD A Medical Corporation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Pantea Farhadi MD A Medical Corporation enrolled in Medicare?

Yes. Pantea Farhadi MD A Medical Corporation is registered in the Medicare PECOS enrollment system.

When is Pantea Farhadi MD A Medical Corporation's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Pantea Farhadi MD A Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Pantea Farhadi MD A Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6), Clinical Psychologist (1) and Psychiatry (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pantea Farhadi MD A Medical Corporation was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.