Individual provider Active NPI

Dallin Orin Farar, PA

  • Medical Physician Assistant
  • Yuma, AZ
National Provider Identifier
1558698167
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
4527 Issued in AZ
Practice address
2377 S 22ND Dr
Yuma, AZ 85364-8865
Phone
(928) 343-0488
Fax
(928) 782-0401
NPI assigned
Nov 3, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 4527 AZ Primary

Addresses

Primary practice location

2377 S 22ND Dr
Yuma, AZ 85364-8865

Mailing address

2270 S Ridgeview Dr
Ste 300
Yuma, AZ 85364-8866
Phone (928) 329-4771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100211000717 AZ Practitioner - Physician Assistant 3375686454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yuma Valley Anesthesia, PLLCGroup PAC ID 7810045259, 4 clinicians

Practice addresses (Care Compare)

2270 S Ridgeview Dr
Suite 300
Yuma, AZ 85364-8866
Phone (928) 329-4771

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
30.11 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
76.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1558698167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 S RIDGEVIEW DR",
            "address_2": "STE 300",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648866",
            "telephone_number": "928-329-4771",
            "fax_number": "928-329-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2377 S 22ND DR",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648865",
            "telephone_number": "928-343-0488",
            "fax_number": "928-782-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAR",
        "first_name": "DALLIN",
        "middle_name": "ORIN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-03",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "4527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.