Individual provider Active NPI

Niloufar Farid, MD

  • Psychiatry Physician
  • Willows, CA
National Provider Identifier
1023670213
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A199461 Issued in CA
Practice address
207 N Butte St
Willows, CA 95988-2803
Phone
(530) 934-4641
Fax
(530) 934-4081
NPI assigned
Jul 8, 2019
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Psychiatry Physician 2084P0800X A199461 CA Primary

Addresses

Primary practice location

207 N Butte St
Willows, CA 95988-2803

Mailing address

207 N Butte St
Willows, CA 95988-2803
Phone (530) 934-4641

Other practice location 1

2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250116001337 TX Practitioner - Psychiatry 2961930078 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A199461CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Valley Indian Health Inc CurrentSince Feb 18, 2025 Accepting new patients
Northern Valley Indian Health Inc CurrentSince Feb 18, 2025 Accepting new patients

Locations

1990 Concord Ave
Chico, CA 95928
Phone (530) 809-3300

207 N Butte St
Willows, CA 95988
Phone (530) 934-4641

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1023670213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N BUTTE ST",
            "city": "WILLOWS",
            "state": "CA",
            "postal_code": "959882803",
            "telephone_number": "530-934-4641",
            "fax_number": "530-934-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N BUTTE ST",
            "city": "WILLOWS",
            "state": "CA",
            "postal_code": "959882803",
            "telephone_number": "530-934-4641",
            "fax_number": "530-934-4081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Erwin Rd",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277054699",
            "country_code": "US",
            "telephone_number": "919-684-8111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARID",
        "first_name": "NILOUFAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A199461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willows, CA

Sources for this page

Verify at the official NPI Registry.