Individual provider Active NPI

John Samy Farag, MD

  • Internal Medicine Physician
  • Inglewood, CA
National Provider Identifier
1104983873
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A83293 Issued in CA
Practice address
336 E Hillcrest Blvd
Suite 104
Inglewood, CA 90301-2406
Phone
(310) 419-9999
Fax
(310) 419-9199
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A83293 CA Primary

Addresses

Primary practice location

336 E Hillcrest Blvd
Suite 104
Inglewood, CA 90301-2406

Mailing address

336 E Hillcrest Blvd
Suite 104
Inglewood, CA 90301-2406
Phone (310) 419-9999

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
I20040827000768 CA Practitioner - Internal Medicine 5092780627 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infucare Medical Group of California IncGroup PAC ID 2365828720, 2 clinicians

Practice addresses (Care Compare)

4240 Latham St
Suite a
Riverside, CA 92501-1741
Phone (858) 314-9222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A83293CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Innovatemed Medical Group PC CurrentSince Mar 13, 2024 Accepting new patients
Telehealth Medical Group Inc CurrentSince Jul 1, 2024 Accepting new patients
Infucare Medical Group of California, Inc. CurrentSince Oct 11, 2024 Accepting new patients
Infucare Medical Group of California Inc CurrentSince Oct 11, 2024 Accepting new patients
Telehealth Medical Group Inc CurrentSince Jul 1, 2024 Accepting new patients
Samy Farag, M.D. Medical Group, MC Past Accepting new patients
Caremore Medical Group Inc Internal Medicine Past Accepting new patients
Great Health Medical Center Inc Past Accepting new patients

Locations

9025 Wilshire Blvd
Ste 205A
Beverly Hills, CA 90211
Phone (858) 314-9222

4065 Whittier Blvd
Los Angeles, CA 90023
Phone (323) 968-1170

39755 Murrieta Hot Springs Rd
Ste F110A
Murrieta, CA 92563

615 E Chapman Ave
Orange, CA 92866
Phone (714) 639-4012

615 E Chapman Ave
Ste 300
Orange, CA 92866
Phone (714) 639-4012

601 E Chapman Ave
Orange, CA 92866
Phone (714) 605-8699

72670 Fred Waring Dr
Palm Desert, CA 92260

4240 Latham St
Ste A
Riverside, CA 92501
Phone (858) 314-9222

7625 Mesa College Dr
Ste 25A
San Diego, CA 92111

7625 Mesa College Dr
Ste 250A
San Diego, CA 92111
Phone (858) 314-9222

2010 E 1st St
Ste 270
Santa Ana, CA 92705
Phone (310) 254-0395

558 Saint Charles Dr
Ste 121
Thousand Oaks, CA 91360
Phone (858) 314-9222

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104983873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 E HILLCREST BLVD",
            "address_2": "SUITE 104",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903012406",
            "telephone_number": "310-419-9999",
            "fax_number": "310-419-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 E HILLCREST BLVD",
            "address_2": "SUITE 104",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903012406",
            "telephone_number": "310-419-9999",
            "fax_number": "310-419-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAG",
        "first_name": "JOHN",
        "middle_name": "SAMY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A83293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.