Individual provider Active NPI

Olivia Farfan-Gonzalez, M.D.

  • Obstetrics & Gynecology Physician
  • Ventura, CA
National Provider Identifier
1720014376
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A75237 Issued in CA
Practice address
2601 E Main St
Ventura, CA 93003-2801
Phone
(805) 477-6350
Fax
(805) 477-2274
NPI assigned
Jun 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A75237 CA Primary

Addresses

Primary practice location

2601 E Main St
Ventura, CA 93003-2801

Mailing address

2601 E Main St
Ventura, CA 93003-2801
Phone (805) 477-6350

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
I20080327000805 CA Practitioner - Obstetrics/Gynecology 0749366912 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A75237CAMDObstetrics & Gynecology Physician

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1720014376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 E MAIN ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032801",
            "telephone_number": "805-477-6350",
            "fax_number": "805-477-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 E MAIN ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032801",
            "telephone_number": "805-477-6350",
            "fax_number": "805-477-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARFAN-GONZALEZ",
        "first_name": "OLIVIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A75237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.