Individual provider Active NPI

Farabi M. Hussain, MD

  • Surgery Physician
  • Colton, CA
National Provider Identifier
1104866748
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A606130 Issued in CA
Practice address
400 N. Pepper Ave.
Surgery - Mob 308
Colton, CA 92324
Phone
(909) 580-3353
Fax
(909) 580-1363
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A60613 CA
Surgical Oncology Physician 2086X0206X A606130 CA
Surgery Physician 208600000X A606130 CA Primary

Addresses

Primary practice location

400 N. Pepper Ave.
Surgery - Mob 308
Colton, CA 92324

Mailing address

PO Box 670
Redlands, CA 92373-0000
Phone (909) 747-0371

Other identifiers 2

IdentifierTypeStateIssuer
00A606131MedicaidCA
00A606130CMedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050615000524 CA Practitioner - General SurgeryPractitioner - Surgical Oncology 7416991989 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Surgical Oncology
Education
Loma Linda University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enloe Medical CenterGroup PAC ID 9739092388, shared by 18 NPIs, 330 clinicians
Desert Trauma Surgeons IncGroup PAC ID 0547366106, 36 clinicians

Practice addresses (Care Compare)

1531 Esplanade
Chico, CA 95926-3310
Phone (530) 332-7300

3630 E Imperial Hwy
Lynwood, CA 90262-2609
Phone (310) 900-8900

Hospital & facility affiliations

  • Saint Francis Medical Center Hospital, Lynwood, CA, CCN 050104
  • Enloe Health Hospital, Chico, CA, CCN 050039

Merit-based Incentive Payment System (MIPS)

Final score
97.52 of 100Reported as group
Quality
97.68
Improvement activities
40
Cost
62.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A60613CAMDSurgery Physician
A606130CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cal Med Physicians and Surgeons, Inc. Surgery CurrentSince May 12, 2008 Accepting new patients
Enloe Medical Center CurrentSince Apr 30, 2017 Accepting new patients
Enloe Medical Center CurrentSince Apr 30, 2017 Accepting new patients
Enloe Medical Center Surgery CurrentSince Oct 5, 2019 Accepting new patients
Eminence Health Management Inc. CurrentSince May 1, 2023 Accepting new patients
Desert Trauma Surgeons, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Medical Youth Fountain Incorporated Surgery CurrentSince May 1, 2023 Accepting new patients
Planned Parenthood/Orange and San Bernardino Counties, Inc. Past Accepting new patients

Locations

400 N Pepper Ave
#308
Colton, CA 92324
Phone (909) 580-3353

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800

1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000

3630 E Imperial Hwy
Lynwood, CA 90262
Phone (310) 900-7420

557 N Central Ave
Upland, CA 91786
Phone (909) 608-7178

Interoperability endpoints

  • Direct secure messaging: fhussain428260@direct.peacehealth.org

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1104866748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923730000",
            "telephone_number": "909-747-0371",
            "fax_number": "909-580-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N. PEPPER AVE.",
            "address_2": "SURGERY - MOB 308",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "92324",
            "telephone_number": "909-580-3353",
            "fax_number": "909-580-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "FARABI",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A60613",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "CA",
            "license": "A606130",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A606130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A606131",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A606130C",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

Verify at the official NPI Registry.