Active NPI
John P. Faraci, MD
- Pediatric Allergy/Immunology Physician
- Loma Linda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Allergy/Immunology Physician
- License
- G162574
- Practice address
- 11370 Anderson St # 3200
Loma Linda, CA 92354 - Phone
- (909) 558-2395
- NPI assigned
- Jul 18, 2006
- Last updated
- Oct 21, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | ME46902 | FL | |
| Allergy & Immunology Physician | 207K00000X | 0438327 | KS | |
| Pediatric Allergy/Immunology Physician | 2080P0201X | G162574 | CA | Primary |
Addresses
Primary practice location
11370 Anderson St # 3200
Loma Linda, CA 92354
Mailing address
11370 Anderson St # 3200
Loma Linda, CA 92354-3450
Other practice location 1
201 Albert Ave
Scott City, KS 67871-6117
Phone (620) 872-5811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- University of Kentucky College of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11234 Anderson St
Loma Linda, CA 92354-2804
11370 Anderson St
Loma Linda, CA 92354-3450
File Number
Suite 54701
Los Angeles, CA 90074-4701
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.87 of 100
- Quality
- 72.13
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 77.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0438327 | KS | MD | Allergy & Immunology Physician |
| G162574 | CA | MD | Pediatric Allergy/Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Palm Beach Gardens Community Hospital, Inc. | Past | Accepting new patients | |
| The Palm Beach Center for Facial Plastic & Laser Surgery, P.a. | Past | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Past | Accepting new patients | |
| Jupiter Medical Center, Inc. | Past | Accepting new patients | |
| Scott County Hospital | Past | Accepting new patients |
Locations
81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830
11234 Anderson St
#A600
Loma Linda, CA 92350
Phone (909) 558-2824
11370 Anderson St
#3200
Loma Linda, CA 92354
Phone (909) 558-2395
11370 Anderson St
#3300
Loma Linda, CA 92354
Phone (909) 558-2799
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
Interoperability endpoints
- jfaraci265418@direct.llu.edu
Organizations & group practices 10
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.
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- NPI 1205009917
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- Pediatrics Physician
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- NPI 1073563748
-
- Neurology Physician
- Loma Linda, CA
- NPI 1386694313
-
- Pediatrics Physician
- Highland, CA
- NPI 1689624991
-
- Pediatric Cardiology Physician
- Beaumont, CA
- NPI 1871766121
-
- Orthopaedic Surgery Physician
- Loma Linda, CA
- NPI 1275582918
-
- General Acute Care Hospital
- Jupiter, FL
- NPI 1295721090
-
dba Palm Beach Gardens Medical Center
- General Acute Care Hospital
- Palm Beach Gardens, FL
- NPI 1144251216
-
dba Scott County Hospital Anestia
- Anesthesiology Physician
- Scott City, KS
- NPI 1801837273
-
- Facial Plastic Surgery Physician
- Jupiter, FL
- NPI 1225448921
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571616000000",
"number": "1104845775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11370 ANDERSON ST # 3200",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923543450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11370 ANDERSON ST # 3200",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "92354",
"telephone_number": "909-558-2395"
}
],
"practiceLocations": [
{
"address_1": "201 Albert Ave",
"address_purpose": "LOCATION",
"city": "Scott City",
"state": "KS",
"postal_code": "678716117",
"country_code": "US",
"telephone_number": "620-872-5811",
"fax_number": "620-872-3660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARACI",
"first_name": "JOHN",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2019-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "FL",
"license": "ME46902",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "KS",
"license": "0438327",
"primary": false
},
{
"code": "2080P0201X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Allergy/Immunology",
"state": "CA",
"license": "G162574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.