Active NPI
Kamron Fariba, DO
- Psychiatry Physician
- Glendora, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 20A22760
- Practice address
- 415 W Route 66 Ste 202
Glendora, CA 91740-4335 - Phone
- (269) 634-4676
- NPI assigned
- Mar 15, 2019
- Last updated
- Jan 16, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 34.016741 | OH | |
| Psychiatry Physician | 2084P0800X | 20A22760 | CA | Primary |
| Psychiatry Physician | 2084P0800X | U5397 | TX | |
| Psychiatry Physician | 2084P0800X | 036171913 | IL | |
| Psychiatry Physician | 2084P0800X | 18239 | FL | |
| Psychiatry Physician | 2084P0800X | 0548697 | KS | |
| Psychiatry Physician | 2084P0800X | DO91264 | SC | |
| Psychiatry Physician | 2084P0800X | 2023045462 | MO | |
| Psychiatry Physician | 2084P0800X | 202304562 | MO |
Addresses
Primary practice location
415 W Route 66 Ste 202
Glendora, CA 91740-4335
Mailing address
415 W Route 66 Ste 202
Glendora, CA 91740-4335
Phone (626) 963-4467
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX, CA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Touro Un College of Osteopathic Medicine, Vallejo, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
151 Pioneer LN
Bishop, CA 93514-2557
Phone (760) 872-1000
415 W Route 66
Suite 202
Glendora, CA 91740-4335
Phone (626) 963-4467
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A22760 | CA | MD | Psychiatry Physician |
| 18239 | FL | MD | Psychiatry Physician |
| 036171913 | IL | MD | Psychiatry Physician |
| 0548697 | KS | MD | Psychiatry Physician |
| 202304562 | MO | MD | Psychiatry Physician |
| 34.016741 | OH | MD | Psychiatry Physician |
| DO91264 | SC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kamron a Fariba DO Inc | Psychiatry | Current | Accepting new patients |
| Border Region MH Mr Community Center | Psychiatry | Current | Accepting new patients |
| Burke Center | Psychiatry | Current | Accepting new patients |
| Heart of Texas Region MHMR Center | Current | Accepting new patients | |
| Bexar County Board of Trustees for Mental Health Mental Retardation | Current | Accepting new patients | |
| Texana Center | Current | Accepting new patients | |
| Dr Jacob & Associates Inc | Psychiatry | Current | Accepting new patients |
| Burke Center | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
151 Pioneer Ln
Bishop, CA 93514
Phone (760) 872-1000
2705 S Diamond Bar Blvd
Ste 238
Diamond Bar, CA 91765
Phone (909) 860-2166
415 W Route 66
Ste 202
Glendora, CA 91740
Phone 6269634467202
1500 Pappas St
Laredo, TX 78041
Phone (956) 794-3000
2001 S Medford Dr
Lufkin, TX 75901
Phone (936) 633-5672
4910 Airport Ave
Ste D
Rosenberg, TX 77471
Phone (281) 239-1300
601 N Frio St
#1
San Antonio, TX 78207
Phone (210) 225-5481
6800 Park Ten Blvd
Ste 200S
San Antonio, TX 78213
Phone 21026110001060
110 S 12th St
Waco, TX 76701
Phone (254) 297-7124
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 10
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.
-
- Psychiatry Physician
- Glendora, CA
- NPI 1932997467
-
- Psychiatry Physician
- Glendora, CA
- NPI 1114756160
-
dba The Center for Health Care Services
- Counselor
- San Antonio, TX
- NPI 1730134586
-
- Psychiatry Physician
- Laredo, TX
- NPI 1124060173
-
- Psychiatry Physician
- Lufkin, TX
- NPI 1396792420
-
dba Heart of Texas Behavioral Health Network
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waco, TX
- NPI 1639399132
-
dba Brain Health USA
- Child & Adolescent Psychiatry Physician
- Gardena, CA
- NPI 1417373713
-
- Multi-Specialty Clinic/Center
- Rosenberg, TX
- NPI 1912954058
-
- Developmental Disabilities Clinic/Center
- Lufkin, TX
- NPI 1164572772
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768521600000",
"number": "1407315864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 W ROUTE 66 STE 202",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917404335",
"telephone_number": "626-963-4467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 W ROUTE 66 STE 202",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917404335",
"telephone_number": "269-634-4676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARIBA",
"first_name": "KAMRON",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-15",
"last_updated": "2026-01-16",
"certification_date": "2026-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "34.016741",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "20A22760",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "U5397",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036171913",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "18239",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KS",
"license": "0548697",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SC",
"license": "DO91264",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2023045462",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "202304562",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Timothy J Ferguson, M.D.
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.