Active NPI
Johanna Faruq
- Prosthetics Case Management
- Los Angeles, CA
National Provider Identifier
1326630559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- Practice address
- 10351 Santa Monica Blvd
Unit 100 Studio 19
Los Angeles, CA 90025-4036 - Phone
- (951) 867-1198
- NPI assigned
- Feb 9, 2021
- 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 |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | Primary |
Addresses
Primary practice location
10351 Santa Monica Blvd
Unit 100 Studio 19
Los Angeles, CA 90025-4036
Mailing address
1809 Baywood Dr Apt 202
Corona, CA 92881-3350
Phone (951) 867-1198
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rooted by Nature | Current | Accepting new patients |
Locations
10351 Santa Monica Blvd
Ste 100
Los Angeles, CA 90025
Phone (310) 565-8265
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 and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Los Angeles, CA
- NPI 1013658228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651536000000",
"number": "1326630559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1809 BAYWOOD DR APT 202",
"city": "CORONA",
"state": "CA",
"postal_code": "928813350",
"telephone_number": "951-867-1198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10351 SANTA MONICA BLVD",
"address_2": "UNIT 100 STUDIO 19",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900254036",
"telephone_number": "951-867-1198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARUQ",
"first_name": "JOHANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-09",
"last_updated": "2022-05-03",
"certification_date": "2022-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist, Prosthetics Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.