Individual provider Active NPI

Lorraine Mary Farkas, NP, RN,CNM

  • Women's Health Nurse Practitioner
  • San Luis Obispo, CA
National Provider Identifier
1164401154
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
5639 Issued in CA
Practice address
35 Casa St Ste 220
San Luis Obispo, CA 93405-1890
Phone
(805) 595-1808
Fax
(805) 595-1815
NPI assigned
Jan 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 969 CA
Women's Health Nurse Practitioner 363LW0102X 5639 CA Primary

Addresses

Primary practice location

35 Casa St Ste 220
San Luis Obispo, CA 93405-1890

Mailing address

1941 N Wishon Ave
Fresno, CA 93704-6153
Phone (559) 443-1609

Other practice location 1

110 N Valeria St
Suite 505
Fresno, CA 93701-2166
Phone (559) 266-8989

Other identifiers 2

IdentifierTypeStateIssuer
295433OtherCAREGISTERED NURSE LIC
5639OtherCANURSE PRACTITIONER LIC

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)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
5639CAMDWomen's Health Nurse Practitioner
969CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners Past Accepting new patients
Central California Faculty Medical Group, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1164401154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 N WISHON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937046153",
            "telephone_number": "559-443-1609",
            "fax_number": "559-224-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CASA ST STE 220",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051890",
            "telephone_number": "805-595-1808",
            "fax_number": "805-595-1815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 N Valeria St",
            "address_2": "SUITE 505",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937012166",
            "country_code": "US",
            "telephone_number": "559-266-8989",
            "fax_number": "559-495-3134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARKAS",
        "first_name": "LORRAINE",
        "middle_name": "MARY",
        "credential": "NP, RN,CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "969",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "5639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LIC",
            "identifier": "295433",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LIC",
            "identifier": "5639",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.