Organization Active NPI

Joseph M. Farber M.D., Inc.

  • Ophthalmology Physician
  • San Leandro, CA
National Provider Identifier
1366560336
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G0011545 Issued in CA
Legal business name
JOSEPH M. FARBER M.D., INC.
Practice address
15051 Hesperian Blvd
Suite a
San Leandro, CA 94578-3536
Phone
(510) 276-1212
Fax
(510) 276-1313
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joseph Morris Farber, M.D.
Title
Owner
Phone
(510) 276-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G0011545 CA Primary

Addresses

Primary practice location

15051 Hesperian Blvd
Suite a
San Leandro, CA 94578-3536

Mailing address

15051 Hesperian Blvd
Suite a
San Leandro, CA 94578-3536
Phone (510) 276-1212

Other identifiers 1

IdentifierTypeStateIssuer
00G115450MedicaidCA

National Provider Directory

National Provider Directory

Locations

15051 Hesperian Blvd
Ste A
San Leandro, CA 94578
Phone (510) 276-1212

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366560336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15051 HESPERIAN BLVD",
            "address_2": "SUITE A",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945783536",
            "telephone_number": "510-276-1212",
            "fax_number": "510-276-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15051 HESPERIAN BLVD",
            "address_2": "SUITE A",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945783536",
            "telephone_number": "510-276-1212",
            "fax_number": "510-276-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH M. FARBER M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FARBER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MORRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-276-1212",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G0011545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G115450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.