Provider Demographics
NPI:1841270584
Name:ARFAEI, AMIR (MD)
Entity type:Individual
Prefix:
First Name:AMIR
Middle Name:
Last Name:ARFAEI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:168 N BRENT ST
Mailing Address - Street 2:SUITE 406
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-2817
Mailing Address - Country:US
Mailing Address - Phone:805-653-6371
Mailing Address - Fax:805-653-7242
Practice Address - Street 1:168 N BRENT ST
Practice Address - Street 2:SUITE 406
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-2817
Practice Address - Country:US
Practice Address - Phone:805-653-6371
Practice Address - Fax:805-653-7242
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA102199207RS0012X, 207RP1001X, 207RC0200X
KS0430219207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200002730AMedicaid
CAWA102199AOtherMEDICARE-INDIVIDUAL PTAN
CAW10678Medicare PIN
KS103305Medicare ID - Type Unspecified
KS200002730AMedicaid