Individual provider Active NPI

Kevin Saman Farnam, M.D.

  • Allergy & Immunology Physician
  • Pasadena, CA
National Provider Identifier
1598092330
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
A110001 Issued in CA
Practice address
65 N Madison Ave
Ste 202
Pasadena, CA 91101-5248
Phone
(626) 793-2246
Fax
(844) 272-2073
NPI assigned
Nov 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A 110001 CA
Allergy & Immunology Physician 207K00000X A110001 CA Primary

Addresses

Primary practice location

65 N Madison Ave
Ste 202
Pasadena, CA 91101-5248

Mailing address

65 N Madison Ave
Ste 202
Pasadena, CA 91101-5248
Phone (626) 793-2246

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
I20100805001013 CA Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 9133252448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Baylor College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

65 N Madison Ave
Suite 200
Pasadena, CA 91101-2051
Phone (626) 793-2246

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pasadena Hospital Association, LTD. Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kevin.farnam.1@17076.direct.athenahealth.com

Organizations & group practices 2

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": "1258329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1598092330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 N MADISON AVE",
            "address_2": "STE 202",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911015248",
            "telephone_number": "626-793-2246",
            "fax_number": "844-272-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 N MADISON AVE",
            "address_2": "STE 202",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911015248",
            "telephone_number": "626-793-2246",
            "fax_number": "844-272-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARNAM",
        "first_name": "KEVIN",
        "middle_name": "SAMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-16",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A 110001",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A110001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.