Organization Active NPI

Michael L. Farley, D.O., a Medical Corporation

  • Family Medicine Physician
  • Redding, CA
National Provider Identifier
1467461004
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A9624 Issued in CA
Legal business name
MICHAEL L. FARLEY, D.O., A MEDICAL CORPORATION
Practice address
2175 Rosaline Ave
Redding, CA 96001-2549
Phone
(530) 510-3745
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2018

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

Authorized official

Name
Michael Lloyd Farley, D.O.
Title
President
Phone
(530) 510-3745

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 20A9624 CA Primary

Addresses

Primary practice location

2175 Rosaline Ave
Redding, CA 96001-2549

Mailing address

PO Box 991480
Redding, CA 96099-1480
Phone (530) 229-9300

Other identifiers 1

IdentifierTypeStateIssuer
20A9624OtherCALICENSE

National Provider Directory

National Provider Directory

Locations

2401 Hartnell Ave
Redding, CA 96002
Phone (530) 222-5459

1441 Liberty St
Ste 200
Redding, CA 96001
Phone (530) 229-9300

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544745600000",
    "number": "1467461004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 991480",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960991480",
            "telephone_number": "530-229-9300",
            "fax_number": "530-229-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 ROSALINE AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012549",
            "telephone_number": "530-510-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L. FARLEY, D.O., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2018-12-14",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-510-3745",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A9624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "20A9624",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2018; 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.