Fariba Seraj, NP/PA

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

327511 Issued in CA

Practice address

520 N Prospect Ave
Suite 302,
Redondo Beach, CA 90277-3041

Phone

(310) 798-1515

Fax

(310) 798-3131

NPI assigned

Jul 18, 2006

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

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

Specialty

Physician Assistant

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

William J Wickwire M D Inc a Professional CorporationGroup PAC ID 7315974375, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Physician Assistant

State licenses

Practice roles

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.

• William J Wickwire M D Inc a Professional Corporation

  • Dermatology Physician
  • Redondo Beach, CA
  • NPI 1326119165
  Medicare reassignment Care Compare group
• Los Angeles ENT Facial Plastics Center, Inc

  • Medical Specialty Clinic/Center
  • Redondo Beach, CA
  • NPI 1225463797
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1346268919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N PROSPECT AVE",
            "address_2": "SUITE 302,",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773041",
            "telephone_number": "310-798-1515",
            "fax_number": "310-798-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N PROSPECT AVE",
            "address_2": "SUITE 302,",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773041",
            "telephone_number": "310-798-1515",
            "fax_number": "310-798-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERAJ",
        "first_name": "FARIBA",
        "name_prefix": "Mrs.",
        "credential": "NP/PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "327511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Gerald Seclen
• Brandy Seignemartin, APCC
• Susan Selfridge, ED.S.
• Allen Joseph Selner, D.P.M.
• Elaine Carmel Semple, LEP
• Serenity Wellness Center,Inc
• Virginia Serrano, AMFT142124
• Ruth Eva Shaffer, PSY.D.
• Rina Shah, CCC-SLP
• Sagar Atul Shah

• Nurse Practitioner in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.