Farrah Dawn Gainey, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

246210 Issued in CA

Practice address

30971 Silver Leaf Dr
San Juan Capistrano, CA 92675-2952

Phone

(949) 503-1705

NPI assigned

Dec 18, 2023

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Dana Shores Recovery

  • Substance Abuse Rehabilitation Facility
  • San Juan Capistrano, CA
  • NPI 1952174849
  NPD

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1508634767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 LOOKOUT CT",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917848611",
            "telephone_number": "951-203-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30971 SILVER LEAF DR",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926752952",
            "telephone_number": "949-503-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINEY",
        "first_name": "FARRAH",
        "middle_name": "DAWN",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "246210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Seaman Friedman, MFT
• Hope Frisch
• Daniel C Fry, DC
• Fullmotion Physical Therapy PC
• Sierra Gage, RN, CPNP-PC
• Sogol Ganjineh, PHARMACY TECHNICIAN
• Priya Tripathi Ganju, D.D.S.
• Brenda T Garcia-Berry, LMFT
• Analina Marie Garcia, AMFT, APCC
• Lisset Garcia, PPS

• Licensed Vocational Nurse in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.