Active NPI
Diba Farah, M.D.
- Pediatrics Physician
- La Habra, CA
National Provider Identifier
1710271143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A129977
- Practice address
- 501 S Idaho St
Suite 190
La Habra, CA 90631-6047 - Phone
- (562) 690-0400
- Fax
- (562) 501-1198
- NPI assigned
- Jun 2, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A129977 | CA | Primary |
Addresses
Primary practice location
501 S Idaho St
Suite 190
La Habra, CA 90631-6047
Mailing address
501 S Idaho St
Suite 260
La Habra, CA 90631-6047
Phone (592) 501-1720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A129977 | Other | CA | MEDICAL BOARD OF CALIFORNIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PHR Group Provider Enrollment Unit
Pasadena, CA 91188-0001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A129977 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pih Health Whittier Hospital | Past | Accepting new patients | |
| Friends of Family Health Center | Past | Accepting new patients | |
| Friends of Family Health Center | Past | Accepting new patients | |
| Friends of Family Health Center | Past | Accepting new patients | |
| Friends of Family Health Center | Past | Accepting new patients | |
| St Jude Hospital Inc | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- dfarah630291@direct.ochin.org
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Ontario, CA
- NPI 1003546342
-
- Federally Qualified Health Center (FQHC)
- Pico Rivera, CA
- NPI 1124758727
-
- Federally Qualified Health Center (FQHC)
- La Puente, CA
- NPI 1124758883
-
- Federally Qualified Health Center (FQHC)
- Tustin, CA
- NPI 1922489665
-
- General Acute Care Hospital
- Whittier, CA
- NPI 1043215379
-
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478736000000",
"number": "1710271143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 S IDAHO ST",
"address_2": "SUITE 260",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906316047",
"telephone_number": "592-501-1720",
"fax_number": "562-501-1198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S IDAHO ST",
"address_2": "SUITE 190",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906316047",
"telephone_number": "562-690-0400",
"fax_number": "562-501-1198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARAH",
"first_name": "DIBA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-02",
"last_updated": "2016-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A129977",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL BOARD OF CALIFORNIA",
"identifier": "A129977",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Habra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.