Individual provider Active NPI

Marlene F. Farronan, P.A.

  • Physician Assistant
  • Downey, CA
National Provider Identifier
1013961796
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA11792 Issued in CA
Practice address
9040 Telegraph Rd Ste 100
Downey, CA 90240-2395
Phone
(562) 861-0954
Fax
(562) 923-0966
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA11792 CA Primary

Addresses

Primary practice location

9040 Telegraph Rd Ste 100
Downey, CA 90240-2395

Mailing address

Dept la 23039
Pasadena, CA 91185-3039
Phone (562) 282-4038

Other names 1

  • Marlene F. Fernandez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA11792CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jose Aceves MD a Professional Corp CurrentSince Jul 28, 2019 Accepting new patients
John Shaib, M.D., Inc. PastSince Mar 14, 2016 Accepting new patients
Caremore Medical Group Past Accepting new patients
Pih Health Physicians Past Accepting new patients
Rubin and McNamara MDS Inc Past Accepting new patients

Locations

14609 Whittier Blvd
Whittier, CA 90605
Phone (562) 270-2198

Interoperability endpoints

  • Direct secure messaging: marlene.farronan.p7@direct.caremorewest.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1013961796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT LA 23039",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911853039",
            "telephone_number": "562-282-4038",
            "fax_number": "562-658-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 TELEGRAPH RD STE 100",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902402395",
            "telephone_number": "562-861-0954",
            "fax_number": "562-923-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRONAN",
        "first_name": "MARLENE",
        "middle_name": "F.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA11792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLENE",
            "last_name": "FERNANDEZ",
            "middle_name": "F.",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.