Farida Bounoua MD Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A89619 Issued in CA

Legal business name

FARIDA BOUNOUA MD INC

Practice address

2323 De la Vina St
Suite 207
Santa Barbara, CA 93105-3877

Phone

(805) 879-4011

Fax

(805) 879-4021

NPI assigned

Mar 18, 2015

Organization subpart

No

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

Authorized official

Name

Farida Bounoua, MDNPI 1992925564

Title

President

Phone

(805) 879-4011

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Farida Bounoua, MD

  • Surgery Physician
  • Santa Barbara, CA
  • NPI 1992925564
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1396138103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1206",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931161206",
            "telephone_number": "805-964-3838",
            "fax_number": "805-683-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 DE LA VINA ST",
            "address_2": "SUITE 207",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053877",
            "telephone_number": "805-879-4011",
            "fax_number": "805-879-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARIDA BOUNOUA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "BOUNOUA",
        "authorized_official_first_name": "FARIDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-879-4011",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A89619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Fante, MD
• Susan Farber, LMFT
• Donald Omar Fareed, M.D.
• Gina Farias-Eisner, MD
• Joseph Farias
• Victor Saul Farley
• Kaela Farrise
• Gina Faruzzi, FNP
• Josen Fassil
• Christina Faulding, FNP

• Surgery Physician in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.