Farah Ferrer MD Medical Group Inc

Primary specialty

Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X

Legal business name

FARAH FERRER MD MEDICAL GROUP INC

Practice address

5406 E Beverly Blvd
Los Angeles, CA 90022-2208

Phone

(323) 213-3605

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Farah Ferrer, MDNPI 1942393996

Title

Ceo

Phone

(818) 854-6971

Specialties & licenses 2

Addresses

Other names 1

• FARAH FERRER MD MEDICAL GROUP INC Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Farah Ferrer, MD

  • Child & Adolescent Psychiatry Physician
  • Los Angeles, CA
  • NPI 1942393996
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1164549598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5406 E BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900222208",
            "telephone_number": "323-573-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5406 E BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900222208",
            "telephone_number": "323-213-3605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "454 N Craig Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911072460",
            "country_code": "US",
            "telephone_number": "323-213-3605",
            "fax_number": "323-213-3222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FARAH FERRER MD MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "FERRER",
        "authorized_official_first_name": "FARAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-854-6971",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARAH FERRER MD MEDICAL GROUP INC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "FARAH FERRER MD MEDICAL GROUP INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Far East Medical Supply & Equipment Inc.
• Anahita Far
• Aubrey Lynn Farabee
• Samy S Farag, MD
• Sarah Farag, M.D.
• Nicole Farah, PHARM.D
• Fatemeh Farahan, MFT
• Ronit Farahmandian, MD
• Faraz Farahnik, DDS
• Farid Farahnik, DDS

• Psychosomatic Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychosomatic Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.