Timiza Renee Farley

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-35159 Issued in CA

Practice address

27268 Via Industria
Temecula, CA 92590

Phone

(951) 265-6504

NPI assigned

Apr 10, 2019

Last updated

Sep 3, 2019By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• California Psychcare, Inc.

  dba 360 Behavioral Health

  • Behavior Analyst
  • Van Nuys, CA
  • NPI 1811289150
  NPD (past)

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1407319031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27268 VIA INDUSTRIA",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27268 VIA INDUSTRIA",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92590",
            "telephone_number": "951-265-6504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32824 Wolf Store Rd",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925929672",
            "country_code": "US",
            "telephone_number": "951-297-7460",
            "fax_number": "951-302-6995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "TIMIZA",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-19-35159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Planning Associates Medical Group Inc (FPA Women's Health)
• Juston Fan, DO
• Breannah Fangon
• Nilgoun Farhadi
• Fariba Farhidvash, M.D., M.P.H.
• Jarod Farnsworth, PSS- FAMILY ADVOCATE
• Laura C Farnsworth, DCN, MS, CNS
• Faro Behavioral Health
• Palwasha Farooqi
• Jordan Fasano, LVN

• Behavior Analyst in Temecula, CA
• Providers in Temecula, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.