Georgianna Farren, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G59600 Issued in CA

Practice address

250 Bon Air Rd
Greenbrae, CA 94904-1702

Phone

(415) 448-1500

Fax

(415) 892-9732

NPI assigned

Jul 14, 2005

Last updated

May 6, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Marin Community Clinic

  • Federally Qualified Health Center (FQHC)
  • San Rafael, CA
  • NPI 1508514902

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1346249067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6090 REDWOOD BLVD",
            "address_2": "SUITE G",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949454569",
            "telephone_number": "415-798-3103",
            "fax_number": "415-892-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BON AIR RD",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949041702",
            "telephone_number": "415-448-1500",
            "fax_number": "415-892-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARREN",
        "first_name": "GEORGIANNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G59600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G59600",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emmanuel C Ezeala
• Nancy Gay Faber, MFT
• Carol Floyd Fagan, R.N.
• Samantha Fargeon, LCSW
• Alex Jamal Farhat
• Cheryl Ann Fedele
• Jessica Fedie, PA-C
• Arthur C Fenn, MD
• Adrian Fernandez, MD
• Robert S. Ferretti, M. D.

• Internal Medicine Physician in Greenbrae, CA
• Providers in Greenbrae, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.