Active NPI
Karen Pauline Farac, DPM, MS
- Podiatrist
- Santa Rosa, CA
National Provider Identifier
1225387301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E3516
- Practice address
- 1211 College Ave.
Santa Rosa, CA 95404 - Phone
- (707) 332-2882
- NPI assigned
- Sep 5, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E3516 | CA | Primary |
Addresses
Primary practice location
1211 College Ave.
Santa Rosa, CA 95404
Mailing address
979 Golf Course Dr.
#176
Rohnert Park, CA 94928
Phone (707) 332-2882
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3516 | CA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tucker Chiropractic, a Professional Corporation | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Santa Rosa, CA
- NPI 1073564753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346803200000",
"number": "1225387301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "979 GOLF COURSE DR.",
"address_2": "#176",
"city": "ROHNERT PARK",
"state": "CA",
"postal_code": "94928",
"telephone_number": "707-332-2882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 COLLEGE AVE.",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "95404",
"telephone_number": "707-332-2882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARAC",
"first_name": "KAREN",
"middle_name": "PAULINE",
"name_prefix": "Dr.",
"credential": "DPM, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-05",
"last_updated": "2012-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E3516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.