Individual provider Active NPI

Fariha Farooq, PA

  • Physician Assistant
  • Ashland, CA
National Provider Identifier
1154061885
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA64768 Issued in CA
Practice address
16110 E 14TH St
Ashland, CA 94578-3002
Phone
(510) 471-5880
NPI assigned
Mar 30, 2022
Last updated
Apr 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA64768 CA Primary

Addresses

Primary practice location

16110 E 14TH St
Ashland, CA 94578-3002

Mailing address

16110 E 14TH St
Ashland, CA 94578-3002
Phone (510) 471-5880

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250415001537 CA Practitioner - Physician Assistant 9234654096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1290 B St
Suite 109
Hayward, CA 94541-2948

3324 Canyon Village Cir
San Ramon, CA 94583-1878

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
64768CAMDDentist
PA64768CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tiburcio Vasquez Health Center, Inc. CurrentSince Jan 20, 2026 Accepting new patients
Tiburcio Vasquez Health Center, Inc. CurrentSince Jan 20, 2026 Accepting new patients
Golden State Orthopedics & Spine Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients
Golden State Orthopedics & Spine Past Accepting new patients

Locations

16110 E 14th St
Ashland, CA 94578
Phone (510) 398-7500

33255 9th St
Union City, CA 94587
Phone (510) 690-6052

Interoperability endpoints

  • Direct secure messaging: fariha.farooq.p1@direct.muirortho.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1154061885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16110 E 14TH ST",
            "city": "ASHLAND",
            "state": "CA",
            "postal_code": "945783002",
            "telephone_number": "510-471-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16110 E 14TH ST",
            "city": "ASHLAND",
            "state": "CA",
            "postal_code": "945783002",
            "telephone_number": "510-471-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAROOQ",
        "first_name": "FARIHA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA64768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, CA

Sources for this page

Verify at the official NPI Registry.