NPIMap

Individual provider Active NPI

Farah A Ameeri, D.O.

  • Family Medicine Physician
  • Chino, CA
National Provider Identifier
1023054699
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A7860 Issued in CA
Practice address
13768 Roswell Ave
Suite 115
Chino, CA 91710-1401
Phone
(909) 364-0600
Fax
(909) 364-1126
NPI assigned
Jun 21, 2006
Last updated
Jul 26, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A7860 CA Primary

Addresses

Primary practice location

13768 Roswell Ave
Suite 115
Chino, CA 91710-1401

Mailing address

13768 Roswell Ave
Suite 115
Chino, CA 91710-1401
Phone (909) 364-0600

Other identifiers 1

IdentifierTypeStateIssuer
10940264OtherCACAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050401000553 CA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 6507813524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

13768 Roswell Ave
Chino, CA 91710-1402
Phone (909) 364-0600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A7860CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Farah a Ameeri D O Inc Family Medicine CurrentSince Jun 1, 2006 Accepting new patients
Primecare Medical Group Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Chino Medical Group, Inc Family Medicine Past Accepting new patients
Prime Healthcare Services - Montclair, LLC Past Accepting new patients

Locations

13768 Roswell Ave
Ste 112
Chino, CA 91710
Phone (909) 364-0600

13768 Roswell Ave
Ste 115
Chino, CA 91710
Phone (909) 364-0060

Interoperability endpoints

  • Direct secure messaging: farah.ameeri@962713111691268.direct.elationemr.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1023054699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13768 ROSWELL AVE",
            "address_2": "SUITE 115",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101401",
            "telephone_number": "909-364-0600",
            "fax_number": "909-364-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13768 ROSWELL AVE",
            "address_2": "SUITE 115",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101401",
            "telephone_number": "909-364-0600",
            "fax_number": "909-364-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMEERI",
        "first_name": "FARAH",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10940264",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.