Individual provider Active NPI

Alice Farrior, B.S., CLS

  • Medical Technologist
  • San Ramon, CA
National Provider Identifier
1134553993
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical TechnologistTaxonomy code 246QM0706X
License
MTA00036182 Issued in CA
Practice address
2238 Rosemount LN
San Ramon, CA 94582-5719
Phone
(510) 755-6838
NPI assigned
Aug 29, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Technologist 246QM0706X MTA00036182 CA Primary

Addresses

Primary practice location

2238 Rosemount LN
San Ramon, CA 94582-5719

Mailing address

2238 Rosemount LN
San Ramon, CA 94582-5719
Phone (510) 755-6838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
MTA00036182CAMDMedical Technologist

NPI Registry JSON

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1134553993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2238 ROSEMOUNT LN",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945825719",
            "telephone_number": "510-755-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2238 ROSEMOUNT LN",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945825719",
            "telephone_number": "510-755-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRIOR",
        "first_name": "ALICE",
        "name_prefix": "Mrs.",
        "credential": "B.S., CLS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "CA",
            "license": "MTA00036182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.