Active NPI
Farrah K Farquharson, PA-C
- Physician Assistant
- Los Angeles, CA
National Provider Identifier
1144502154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9695
- Practice address
- 10877 Wilshire Blvd Ste 1100
Los Angeles, CA 90024-4368 - Phone
- (310) 248-4000
- NPI assigned
- Sep 15, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9106122 | FL | |
| Physician Assistant | 363A00000X | 9695 | GA | Primary |
Addresses
Primary practice location
10877 Wilshire Blvd Ste 1100
Los Angeles, CA 90024-4368
Mailing address
4525 Chandler CT
Monroe, GA 30656-3688
Phone (305) 300-8455
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004032800 | Medicaid | FL | |
| P01600611 | Other | FL | RR MCR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 78.26 of 100
- Quality
- 71.9
- Promoting interoperability
- 75
- Improvement activities
- 40
- Cost
- 76.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9106122 | FL | MD | Physician Assistant |
| 9695 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Cancer Specialists & Research Institute, LLC | Current | Accepting new patients |
Locations
4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916
Phone (239) 432-8500
4420 Sun N Lake Blvd
Fl Cancer
Sebring, FL 33872
Phone (863) 385-1244
7154 Medical Center Dr
Spring Hill, FL 34608
Phone (352) 596-1926
Organizations & group practices 1
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.
-
- Medical Oncology Physician
- Cape Coral, FL
- NPI 1760590962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715904000000",
"number": "1144502154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4525 CHANDLER CT",
"city": "MONROE",
"state": "GA",
"postal_code": "306563688",
"telephone_number": "305-300-8455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10877 WILSHIRE BLVD STE 1100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900244368",
"telephone_number": "310-248-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARQUHARSON",
"first_name": "FARRAH",
"middle_name": "K",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-15",
"last_updated": "2024-05-17",
"certification_date": "2024-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9106122",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "9695",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004032800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR",
"identifier": "P01600611",
"state": "FL"
}
],
"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 May 17, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.