SOCAL ADVANCED UROLOGY
NPI 1700294386
Urology in Gardena, CA

Active since July 28, 2014CLIA 05D2078397 · Microscopy
1141 W REDONDO BEACH BLVD, SUITE #303, GARDENA, CA 90247(310) 538-2930(310) 538-2932 Get Directions Write a Review

NPPES record last updated: July 28, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Socal Advanced Urology NPPES

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

SOCAL ADVANCED UROLOGY (NPI 1700294386) is a healthcare organization registered as an urology in Gardena, California and active in the NPI registry since July 2014. The organization holds a CLIA Microscopy certificate valid through May 26, 2028 and lists Farshad Nowzari, Physician/ Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1700294386
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameFARSHAD NOWZARI, MD INC
Location Address1141 W REDONDO BEACH BLVD, SUITE #303Gardena, CA 90247-3586
Mailing Address1141 W Redondo Beach Blvd, Suite #303Gardena, CA 90247-3586 · (310) 538-2930 · Fax (310) 538-2932
Fax(310) 538-2932
Organization SubpartYes
Authorized OfficialFarshad NowzariPhysician/ Managing Partner · (310) 538-2930
Enumeration DateJuly 28, 2014
✔ NPI 1700294386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in CA · A75966
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1141 W REDONDO BEACH BLVD, Gardena, CA 90247

Other Names 1

Doing Business AsSocal Advanced Urology

Other Identifiers 1

Medicare UPINH554343CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Socal Advanced Urology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Socal Advanced Urology, which bills Medicare for the services this clinician delivers.

Clinician (1)

Urology
NPI 1689741423
1141 W REDONDO BEACH BLVD SUITE# 303
Gardena, CA 90247
(310) 344-1017
✔ PECOS0.1 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D2078397

Socal Advanced Urology · Gardena, CA
Active · expires May 26, 2028
CLIA Number05D2078397
Laboratory TypePhysician Office
Certificate Effective DateMay 27, 2026
Certificate Expiration DateMay 26, 2028
Laboratory DirectorNowzari Farshad
Laboratory Phone(310) 538-2930
Laboratory LocationSocal Advanced Urology1141 W Redondo Beach Blvd Ste 303, Gardena, CA 90247
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Farshad Nowzari, MD Inc's NPI number?

The NPI number for Farshad Nowzari, MD Inc is 1700294386. It was assigned to this organization in the NPPES registry on July 28, 2014. The provider is doing business as Socal Advanced Urology.

Where is Farshad Nowzari, MD Inc located?

Farshad Nowzari, MD Inc is located at 1141 W Redondo Beach Blvd Suite #303, Gardena, CA 90247. The listed phone number is (310) 538-2930.

What is Farshad Nowzari, MD Inc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Farshad Nowzari, MD Inc enrolled in Medicare?

Yes. Farshad Nowzari, MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Farshad Nowzari, MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Urology) reassigns their Medicare billing to Farshad Nowzari, MD Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Farshad Nowzari, MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D2078397) is associated with this NPI, valid through May 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Farshad Nowzari, MD Inc was last updated on July 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.