Active NPI
Stephanie Farrar, FNP-BC
- Family Nurse Practitioner
- Redondo Beach, CA
National Provider Identifier
1104520501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95025425
- Practice address
- 530 Esplanade Apt 409
Redondo Beach, CA 90277-4071 - Phone
- (262) 364-6483
- NPI assigned
- Mar 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 13770-33 | WI | |
| Family Nurse Practitioner | 363LF0000X | 95025425 | CA | Primary |
Addresses
Primary practice location
530 Esplanade Apt 409
Redondo Beach, CA 90277-4071
Mailing address
530 Esplanade Apt 409
Redondo Beach, CA 90277-4071
Phone (262) 364-6483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95025425 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768348800000",
"number": "1104520501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 ESPLANADE APT 409",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902774071",
"telephone_number": "262-364-6483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 ESPLANADE APT 409",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902774071",
"telephone_number": "262-364-6483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRAR",
"first_name": "STEPHANIE",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-29",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "13770-33",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95025425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.