Active NPI
Amy Farabaugh, PA-C
- Medical Physician Assistant
- La Mesa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 52899
- Practice address
- 7339 El Cajon Blvd
Suite I
La Mesa, CA 91942-7435 - Phone
- (619) 698-0606
- NPI assigned
- Oct 31, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 52899 | CA | Primary |
Addresses
Primary practice location
7339 El Cajon Blvd
Suite I
La Mesa, CA 91942-7435
Mailing address
7339 El Cajon Blvd
Suite I
La Mesa, CA 91942-7435
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- State University of Ny Upstate Medical University, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
245 5TH Ave
FL 3
New York, NY 10016-8728
Phone (646) 868-2970
5665 Wilshire Blvd
Suite 1609
Los Angeles, CA 90036-3710
Phone (209) 372-7025
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zaghi Medical Inc | Current | Accepting new patients |
Locations
5665 Wilshire Blvd
Los Angeles, CA 90036
Phone (209) 372-7025
350 Parnassus Ave
#700B
San Francisco, CA 94117
Phone (424) 600-8360
245 5th Ave
Fl 3
New York, NY 10016
Phone (212) 302-4399
Interoperability endpoints
- afarabaugh556536@direct.ahsys.org
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446249600000",
"number": "1477926319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7339 EL CAJON BLVD",
"address_2": "SUITE I",
"city": "LA MESA",
"state": "CA",
"postal_code": "919427435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7339 EL CAJON BLVD",
"address_2": "SUITE I",
"city": "LA MESA",
"state": "CA",
"postal_code": "919427435",
"telephone_number": "619-698-0606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARABAUGH",
"first_name": "AMY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-31",
"last_updated": "2015-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "52899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
- Family Health Centers of San Diego, Inc
- Family Health Centers of San Diego, Inc
- Family Health Centers of San Diego, Inc.
- Family of Choice, Inc.
- Family Therapy Institute
- Jordan Fedalizo, M.A. CCC-SLP
- Howard B Feffer, DDS
- Richard Marc Feinberg, RICHARD FEINBERG,DDS
- Vincent David Feitosa
- Marcial Felan, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2015; 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.