Active NPI
Michael Jeffrey Farley, PA-C
- Physician Assistant
- Nampa, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3871481
- Practice address
- 1510 12TH Ave Rd Ste 200
Nampa, ID 83686-6946 - Phone
- (208) 302-6800
- Fax
- (208) 302-6855
- NPI assigned
- Oct 11, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 57691 | CA | |
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 3871481 | ID | Primary |
Addresses
Primary practice location
1510 12TH Ave Rd Ste 200
Nampa, ID 83686-6946
Mailing address
PO Box 190930
Boise, ID 83719-0930
Other practice location 1
2176 Salk Ave Ste 200
Carlsbad, CA 92008-7346
Phone (760) 827-7210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, ID
- 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
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1510 12TH Ave Rd
Suite 200
Nampa, ID 83686-6008
Phone (208) 302-6899
1512 12TH Ave Rd
Suite 100
Nampa, ID 83686-6008
Phone (208) 467-1171
2176 Salk Ave
Carlsbad, CA 92008-7346
Phone (760) 827-7200
3025 W Cherry LN
Meridian, ID 83642-8531
477 N El Camino Real
100 Scripps Clinic
Encinitas, CA 92024-1328
Phone (760) 734-3750
9888 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 626-4123
9896 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 626-4123
9898 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 455-9100
Hospital & facility affiliations
- Saint Alphonsus Regional Medical Center
- Scripps Memorial Hospital - Encinitas
- Saint Alphonsus Medical Center - Nampa
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3871481 | ID | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Physician Assistant | Current | Accepting new patients |
| Scripps Health | Past | Accepting new patients |
Locations
2176 Salk Ave
Ste 200
Carlsbad, CA 92008
Phone (760) 827-7200
2176 Salk Ave
Carlsbad, CA 92008
Phone (760) 827-7200
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
File 54433
Los Angeles, CA 90074
Phone (858) 784-5645
10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626
3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400
1510 12th Ave Rd
Ste 200
Nampa, ID 83686
Phone (208) 302-0600
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- La Jolla, CA
- NPI 1275899072
-
- Psychologist
- Boise, ID
- NPI 1649357716
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
Physician Assistant
-
- Home Health Agency
- San Diego, CA
- NPI 1578556114
-
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
-
- Clinical Medical Laboratory
- La Jolla, CA
- NPI 1427034990
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nampa, ID
- NPI 1659371870
-
- General Acute Care Hospital
- Boise, ID
- NPI 1184155426
-
- General Acute Care Hospital
- Boise, ID
- NPI 1457414948
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
Hospital
-
- General Acute Care Hospital
- Boise, ID
- NPI 1992736649
-
- General Acute Care Hospital
- Encinitas, CA
- NPI 1700829199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768348800000",
"number": "1548802416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190930",
"city": "BOISE",
"state": "ID",
"postal_code": "837190930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 12TH AVE RD STE 200",
"city": "NAMPA",
"state": "ID",
"postal_code": "836866946",
"telephone_number": "208-302-6800",
"fax_number": "208-302-6855"
}
],
"practiceLocations": [
{
"address_1": "2176 Salk Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Carlsbad",
"state": "CA",
"postal_code": "920087346",
"country_code": "US",
"telephone_number": "760-827-7210",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARLEY",
"first_name": "MICHAEL",
"middle_name": "JEFFREY",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-11",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "57691",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "3871481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.