Individual provider Active NPI

Thomas R Farnham, MD

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1124186085
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G042378 Issued in CA
Practice address
1701 Zonal Ave
Los Angeles, CA 90033-1065
Phone
(323) 223-6298
Fax
(323) 223-6399
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G042378 CA Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X G042378 CA
Geriatric Medicine (Family Medicine) Physician 207QG0300X G042378 CA

Addresses

Primary practice location

1701 Zonal Ave
Los Angeles, CA 90033-1065

Mailing address

1145 Market St FL 10
San Francisco, CA 94103-1566
Phone (415) 552-7914

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
I20170331000483 CA Practitioner - Family PracticePractitioner - Geriatric MedicinePractitioner - Addiction Medicine 4880769744 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42378CAMDEndodontist
G042378CAMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Addiction Research and Treatment, Inc. CurrentSince Feb 1, 2016 Accepting new patients
Los Angeles County Department of Public Health Current Accepting new patients
Baart Community Healthcare CurrentSince Apr 22, 2019 Accepting new patients
Narcotic Addiction Treatment Agency, Inc. PastSince Feb 1, 2016 Accepting new patients

Locations

1926 Beverly Blvd
Los Angeles, CA 90057
Phone (213) 353-1140

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: thomasfarnham-baartprograms@lacsapc.netsmartdirect.net

Organizations & group practices 5

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1124186085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 MARKET ST FL 10",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941031566",
            "telephone_number": "415-552-7914",
            "fax_number": "415-552-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 ZONAL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331065",
            "telephone_number": "323-223-6298",
            "fax_number": "323-223-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARNHAM",
        "first_name": "THOMAS",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G042378",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "G042378",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "G042378",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.