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Export Provider Record NPI 1063421865
Fariborz ShamsD.O.
Active
NPI Number1063421865
NPI TypeNPI-1 Individual
SpecialtyInternal Medicine
Provider Details
NPI1063421865
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-08-08
Last Updated2010-07-02
Mailing Address515 S Beach Blvd, Ste F
Anaheim, CA 92804-1812
United States
Phone: (714) 995-7503
📍 View Map
Primary Practice Address515 S Beach Blvd, Ste F
Anaheim, CA 92804-1812
United States
Phone: (714) 995-7503
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207R00000X – Internal MedicineCA20A6510
Export Provider Record NPI 1063421865
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About NPI 1063421865

Fariborz Shams D.O. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1063421865. The primary specialty listed is Internal Medicine. The provider is located in Anaheim, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-08-08. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1063421865?

NPI 1063421865 belongs to Fariborz Shams D.O., a Internal Medicine in Anaheim, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1063421865 active?

The current status of NPI 1063421865 in the NPPES registry is Active. The record was last updated on 2010-07-02.

What specialty is NPI 1063421865?

NPI 1063421865 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1063421865?

You can verify NPI 1063421865 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1063421865?

The primary practice address on file for NPI 1063421865 is 515 S Beach Blvd, Anaheim, CA 92804-1812. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1063421865 issued?

NPI 1063421865 was first issued (enumerated) on 2006-08-08. The NPPES record was last updated on 2010-07-02.

Practice Location Map

Fariborz Shams is located at 515 S Beach Blvd, Anaheim, CA. Use the map below to find directions or verify the practice location.

📍 515 S Beach Blvd, Anaheim, CA 92804-1812  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Fariborz Shams. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1063421865. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Internal Medicine20A6510CA
Data Verified from CMS NPPES Last synced: 2026-08-01 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162