Individual provider Active NPI

Farida K. Faal, FNP

  • General Practice Registered Nurse
  • Glendale, CA
National Provider Identifier
1316023310
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
16295 Issued in CA
Practice address
501 N Glendale Ave
Glendale, CA 91206-3312
Phone
(818) 500-8987
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 16295 CA Primary

Addresses

Primary practice location

501 N Glendale Ave
Glendale, CA 91206-3312

Mailing address

501 N Glendale Ave
Glendale, CA 91206-3312
Phone (818) 500-8987

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
I20200910001032 CA Practitioner - Nurse Practitioner 0446678221 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles Current Accepting new patients
Los Angeles County Department of Public Health CurrentSince Nov 15, 2023 Accepting new patients
County of Los Angeles CurrentSince May 15, 2020 Accepting new patients
County of Los Angeles CurrentSince May 15, 2020 Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

5555 Ferguson Dr
Ste 10050
Commerce, CA 90022
Phone (213) 240-8220

501 N Glendale Ave
Glendale, CA 91206
Phone (818) 291-8900

123 W Manchester Blvd
Inglewood, CA 90301
Phone (310) 419-5325

335 E Avenue K6
Ste B
Lancaster, CA 93535
Phone (661) 471-4810

5300 Tujunga Ave
North Hollywood, CA 91601
Phone (818) 623-6588

Organizations & group practices 4

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1316023310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N GLENDALE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912063312",
            "telephone_number": "818-500-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N GLENDALE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912063312",
            "telephone_number": "818-500-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAAL",
        "first_name": "FARIDA",
        "middle_name": "K.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "16295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.