Active NPI
Kevin Farnam, M.D., Inc.
- Allergy Physician
- Pasadena, CA
National Provider Identifier
1083076442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- A110001
- Legal business name
- KEVIN FARNAM, M.D., INC.
- Doing business as
- Adult and Children Allergy Asthma Center
- Practice address
- 65 N Madison Ave Ste 202
Pasadena, CA 91101-5248 - Phone
- (626) 793-2246
- Fax
- (844) 272-2073
- NPI assigned
- Mar 24, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kevin Farnam, M.D.
- Title
- President
- Phone
- (626) 793-2246
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | A110001 | CA | Primary |
| Clinic/Center | 261Q00000X | A110001 | CA |
Addresses
Primary practice location
65 N Madison Ave Ste 202
Pasadena, CA 91101-5248
Mailing address
65 N Madison Ave Ste 202
Pasadena, CA 91101-5248
Phone (626) 793-2246
Other names 1
- Adult and Children Allergy Asthma Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
65 N Madison Ave
Ste 200
Pasadena, CA 91101
Phone (626) 792-4185
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Allergy & Immunology Physician
- Pasadena, CA
- NPI 1598092330
-
- Physician Assistant
- Anaheim, CA
- NPI 1952066706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472083200000",
"number": "1083076442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 N MADISON AVE STE 202",
"city": "PASADENA",
"state": "CA",
"postal_code": "911015248",
"telephone_number": "626-793-2246",
"fax_number": "844-272-2073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 N MADISON AVE STE 202",
"city": "PASADENA",
"state": "CA",
"postal_code": "911015248",
"telephone_number": "626-793-2246",
"fax_number": "844-272-2073"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEVIN FARNAM, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-24",
"last_updated": "2016-08-25",
"status": "A",
"authorized_official_last_name": "FARNAM",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-793-2246",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology, Allergy",
"state": "CA",
"license": "A110001",
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "CA",
"license": "A110001",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Adult and Children Allergy Asthma Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.