Active NPI
Thomas R Farnham, MD
- Family Medicine Physician
- Los Angeles, CA
National Provider Identifier
1124186085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G042378
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42378 | CA | MD | Endodontist |
| G042378 | CA | MD | Geriatric Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Addiction Research and Treatment, Inc. | Current | Accepting new patients | |
| Los Angeles County Department of Public Health | Current | Accepting new patients | |
| Baart Community Healthcare | Current | Accepting new patients | |
| Narcotic Addiction Treatment Agency, Inc. | Past | Accepting new patients |
Locations
1926 Beverly Blvd
Los Angeles, CA 90057
Phone (213) 353-1140
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- 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.
-
- Primary Care Clinic/Center
- Los Angeles, CA
- NPI 1497127328
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Los Angeles, CA
- NPI 1912045196
-
- Clinic/Center
- Lynwood, CA
- NPI 1215368956
-
- Public Health or Welfare Agency
- Alhambra, CA
- NPI 1700090834
-
- Methadone Clinic
- Sun Valley, CA
- NPI 1538286778
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.