Deirdre Anne Farlow

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

180136 Issued in CA

Practice address

930 Dewing Ave
Lafayette, CA 94549-4223

Phone

(925) 284-1800

NPI assigned

Aug 15, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dedsall559159@hisp.ehr.sutterhealth.org

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.

• California Pacific Medical Group, Inc.

  dba Brown & Toland Medical Group

  • Multi-Specialty Clinic/Center
  • Oakland, CA
  • NPI 1275002453
  NPD (past)

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1053710095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 DEWING AVE",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494223",
            "telephone_number": "925-284-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 DEWING AVE",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494223",
            "telephone_number": "925-284-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARLOW",
        "first_name": "DEIRDRE",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-15",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "180136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evolve Growth Initiatives LLC
• Dina Zayour Ezzeddine, M.D.
• Anjelica Patricia Fall-Brooks, OTR/L
• Sassan Falsafi, M.D.
• Erlinda K. Sy Fang, M.D.
• Lana Anne Farson, DACM, M.S.
• Della L Faulkner, D.C.
• Rebekah Nicole Ferrante, M.S., CCC-SLP
• Elizabeth Ferree, PH.D.
• Andrew W Ferrier, DDS

• Pediatrics Physician in Lafayette, CA
• Providers in Lafayette, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.