Active NPI
Loren L. Faaborg, MD, PC
- Obstetrics & Gynecology Physician
- Sun City, AZ
National Provider Identifier
1265592901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 33356
- Legal business name
- LOREN L. FAABORG, MD, PC
- Practice address
- 10503 W Thunderbird Blvd
Suite 301
Sun City, AZ 85351-3022 - Phone
- (623) 974-3647
- Fax
- (623) 977-0310
- NPI assigned
- Dec 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Loren Faaborg, M.D.
- Title
- President
- Phone
- (623) 974-3647
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 33356 | AZ | Primary |
Addresses
Primary practice location
10503 W Thunderbird Blvd
Suite 301
Sun City, AZ 85351-3022
Mailing address
10503 W Thunderbird Blvd
Suite 301
Sun City, AZ 85351-3022
Phone (623) 974-3647
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 974289 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193356800000",
"number": "1265592901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10503 W THUNDERBIRD BLVD",
"address_2": "SUITE 301",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853513022",
"telephone_number": "623-974-3647",
"fax_number": "623-977-0310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10503 W THUNDERBIRD BLVD",
"address_2": "SUITE 301",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853513022",
"telephone_number": "623-974-3647",
"fax_number": "623-977-0310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOREN L. FAABORG, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-11",
"last_updated": "2007-10-26",
"status": "A",
"authorized_official_last_name": "FAABORG",
"authorized_official_first_name": "LOREN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "623-974-3647",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "AZ",
"license": "33356",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "974289",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sun City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.