Active NPI
Mark Farag, M.D.
- Vascular Neurology Physician
- Santa Fe Springs, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Neurology Physician
- License
- A141024
- Practice address
- 12400 Bloomfield Ave FL 3
Santa Fe Springs, CA 90670-4750 - Phone
- (562) 967-2801
- Fax
- (562) 967-2804
- NPI assigned
- Apr 1, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Neurology Physician | 2084V0102X | A141024 | CA | Primary |
Addresses
Primary practice location
12400 Bloomfield Ave FL 3
Santa Fe Springs, CA 90670-4750
Mailing address
12400 Bloomfield Ave FL 3
Santa Fe Springs, CA 90670-4750
Phone (562) 967-2801
Other practice location 1
101 The City Drive , City Tower
Suite 400
Orange, CA 92868
Phone (714) 273-0388
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Temple University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12400 Bloomfield Ave
Santa Fe Springs, CA 90670-4750
Phone (562) 967-2820
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.61 of 100
- Quality
- 58.7
- Improvement activities
- 40
- Cost
- 75.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A141024 | CA | MD | Vascular Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pih Health Physicians | Family Medicine | Current | Accepting new patients |
| Pih Health Physicians | Current | Accepting new patients | |
| Pih Health Physicians | Family Medicine | Current | Accepting new patients |
| Pih Health Downey Hospital | Past | Accepting new patients | |
| Pih Health Physicians | Family Medicine | Past | Accepting new patients |
| Pih Health Whittier Hospital | Past | Accepting new patients |
Locations
12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339
12400 Bloomfield Ave
Santa Fe Springs, CA 90670
Phone (562) 789-5434
12400 Bloomfield Ave
Fl 3
Santa Fe Springs, CA 90670
Phone (562) 967-2760
12401 Washington Blvd
Whittier, CA 90602
Phone (562) 698-0611
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- markfarag@pihh.allscriptsdirect.net
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Whittier, CA
- NPI 1609233899
-
- Family Medicine Physician
- Whittier, CA
- NPI 1427405737
-
- Anesthesiology Physician
- Downey, CA
- NPI 1447931506
-
- General Acute Care Hospital
- Downey, CA
- NPI 1265433551
-
- Family Medicine Physician
- Whittier, CA
- NPI 1588829006
-
- General Acute Care Hospital
- Whittier, CA
- NPI 1043215379
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Downey, CA
- NPI 1265433551
-
- General Acute Care Hospital
- Whittier, CA
- NPI 1043215379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606176000000",
"number": "1417375098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12400 BLOOMFIELD AVE FL 3",
"city": "SANTA FE SPRINGS",
"state": "CA",
"postal_code": "906704750",
"telephone_number": "562-967-2801",
"fax_number": "562-967-2804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12400 BLOOMFIELD AVE FL 3",
"city": "SANTA FE SPRINGS",
"state": "CA",
"postal_code": "906704750",
"telephone_number": "562-967-2801",
"fax_number": "562-967-2804"
}
],
"practiceLocations": [
{
"address_1": "101 The City Drive , City Tower",
"address_2": "Suite 400",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "92868",
"country_code": "US",
"telephone_number": "714-273-0388",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARAG",
"first_name": "MARK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-01",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "CA",
"license": "A141024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.