Individual provider Active NPI

Gerald Joseph Farrell III, M.D.

  • Emergency Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1578964508
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD477103 Issued in PA
Practice address
1200 N State St
CT-Room A7D
Los Angeles, CA 90033-1029
Phone
(323) 226-6667
NPI assigned
Sep 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD477103 PA Primary
Emergency Medicine Physician 207P00000X A132132 CA

Addresses

Primary practice location

1200 N State St
CT-Room A7D
Los Angeles, CA 90033-1029

Mailing address

1200 N State St
CT-Room A7D
Los Angeles, CA 90033-1029
Phone (323) 226-6667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170220002957 CA Practitioner - Emergency Medicine 9830472729 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A132132CAMDEmergency Medicine Physician
MD477103PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usc Care Medical Group, Inc CurrentSince Jun 9, 2024 Accepting new patients
Aria Health Physician Services Current Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jun 9, 2024 Accepting new patients
Burbank Emergency Medical Group Inc Emergency Medicine CurrentSince Sep 1, 2021 Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

1812 Verdugo Blvd
Glendale, CA 91208
Phone (818) 246-8000

3700 South St
Lakewood, CA 90712
Phone (562) 424-2900

3751 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-3160

1200 N State St
#A7D
Los Angeles, CA 90089
Phone (323) 226-7556

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

Organizations & group practices 4

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": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1578964508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST",
            "address_2": "CT-ROOM A7D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331029",
            "telephone_number": "323-226-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST",
            "address_2": "CT-ROOM A7D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331029",
            "telephone_number": "323-226-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL III",
        "first_name": "GERALD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-09",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD477103",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A132132",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.