Organization Active NPI

Farhan & Humera M D Inc

  • Internal Medicine Physician
  • Riverside, CA
National Provider Identifier
1053165266
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FARHAN & HUMERA M D INC
Practice address
7490 Chateau Ridge LN
Riverside, CA 92506-7545
Phone
(718) 578-7936
NPI assigned
Apr 15, 2024
Last updated
Jul 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Humera Rana, MDNPI 1801982632
Title
Owner
Phone
(718) 578-7936

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

7490 Chateau Ridge LN
Riverside, CA 92506-7545

Mailing address

7490 Chateau Ridge LN
Riverside, CA 92506-7545
Phone (718) 578-7936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240911001126 CA Part B Supplier - Clinic/Group Practice 5193265676 Receives reassigned benefits from 1 practitioner
Practice locations: Riverside, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1053165266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7490 CHATEAU RIDGE LN",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925067545",
            "telephone_number": "718-578-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7490 CHATEAU RIDGE LN",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925067545",
            "telephone_number": "718-578-7936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARHAN & HUMERA M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "RANA",
        "authorized_official_first_name": "HUMERA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-578-7936",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.