Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ehsan Safaie-Fard, MD

Individual provider Internal Medicine Physician · NPI 1457387003

Ehsan Safaie-Fard, MD is an Internal Medicine in Fullerton, California. Qualified in 2001, 25 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
25
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

433 W Bastanchury Rd
Fullerton, CA 92835-3404
Phone: (714) 449-4800
Fax: (714) 449-4956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A88024 (CA)

Record details

NPI number1457387003
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2006
Last updated in NPPESNovember 23, 2009
Mailing addressDept La 21190, Pasadena, CA 91185-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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