Active NPI
Sonja Farmer, PA-C
- Medical Physician Assistant
- Hawthorne, CA
National Provider Identifier
1720271406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA18734
- Practice address
- 4477 W 118TH St Ste 200
Hawthorne, CA 90250-2257 - Phone
- (310) 675-4440
- Fax
- (310) 675-2970
- NPI assigned
- Aug 24, 2007
- Last updated
- Jul 31, 2008
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA18734 | CA | Primary |
Addresses
Primary practice location
4477 W 118TH St Ste 200
Hawthorne, CA 90250-2257
Mailing address
PO Box 13132
Marina del Rey, CA 90295-4132
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA18734 | CA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217462400000",
"number": "1720271406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13132",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902954132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4477 W 118TH ST STE 200",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902502257",
"telephone_number": "310-675-4440",
"fax_number": "310-675-2970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARMER",
"first_name": "SONJA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-24",
"last_updated": "2008-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA18734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hawthorne, CA
- Family United-N-New Beginnings, Inc.
- Stephanie Lynn Fanous, NP
- Far West Podiatric Medical Group (Far West Podiatry)
- Farel a. Rosenberg DDS Inc
- Bassem Farid, DDS
- Hossain Mo Farnoush, PHARMACIST
- Farshad J Nosratian M D Inc
- Farshid Moossazadeh M D a Professional Corporation
- Elizabeth Farsi
- Fayegh Vakili Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.