Physician Compare National (NPI:1114088804)

HEALTHCARE PROVIDER: FARIBA JAVAHERIAN M.D

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1114088804
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4082677547
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20041105000985
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	JAVAHERIAN
	Individual professional last name
Provider First Name	FARIBA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1983
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	17075 DEVONSHIRE ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 208
	Group Practice or individual's line 2 address
City	NORTHRIDGE
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	913255408
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y