John Farrage

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1493871222 Issued in CA

Practice address

239 W 14TH St
San Pedro, CA 90731-4337

Phone

(310) 519-8723

NPI assigned

Dec 30, 2022

Last updated

Dec 30, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1336852763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 S CRESCENT AVE",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907315512",
            "telephone_number": "310-519-8723",
            "fax_number": "310-519-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 W 14TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907314337",
            "telephone_number": "310-519-8723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2033 S Crescent Ave",
            "address_purpose": "LOCATION",
            "city": "San Pedro",
            "state": "CA",
            "postal_code": "907315512",
            "country_code": "US",
            "telephone_number": "310-519-8723",
            "fax_number": "310-519-1309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRAGE",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-30",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "R1493871222",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1493871222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amir Faal
• Victoria Fabila
• Mike Faiola
• Brittany A Falcone
• Brooke Falwell, M.S. CCC-SLP/L
• Shannon Farrell, D.C.
• Kenneth Faubel, D.O.
• Federal Correctional Institution Terminal Island
• Eric M Feit, DPM, INC
• David Emil Feldman, M.D.

• Addiction (Substance Use Disorder) Counselor in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.

Verify at the official NPI Registry.