Active NPI
Suzanne E Farrar, CRNA
- Registered Nurse
- Escondido, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN490409
- Practice address
- 29724 Platanus Dr
Escondido, CA 92026-5936 - Phone
- (760) 297-1284
- Fax
- (760) 297-1279
- NPI assigned
- Aug 25, 2006
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN490409 | CA | Primary |
Addresses
Primary practice location
29724 Platanus Dr
Escondido, CA 92026-5936
Mailing address
29724 Platanus Dr
Escondido, CA 92026-5936
Phone (760) 297-1284
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN490409 | Other | CA | STATE RN LICENSE NUMBER |
| AANA049186 | Other | CA | ANESTHESIA LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of California, San Francisco School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
40740 California Oaks Rd
Murrieta, CA 92562-5727
Phone (951) 304-2200
41670 Ivy St B
Murrieta, CA 92562-9433
Phone (951) 600-7702
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN490409 | CA | MD | Registered Nurse |
| 2382 | CA | MD | Pediatric Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Murrieta Anesthesia Corporation | Current | Accepting new patients | |
| South Coast Anesthesia | Past | Accepting new patients |
Locations
40740 California Oaks Rd
Murrieta, CA 92562
Phone (951) 304-2200
41670 Ivy St
Ste E
Murrieta, CA 92562
2023 W Vista Way
Ste C
Vista, CA 92083
Phone (760) 732-0522
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Certified Registered Nurse Anesthetist
- Murrieta, CA
- NPI 1083847099
-
- Nursing Facility/Intermediate Care Facility
- Escondido, CA
- NPI 1770691297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730297250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29724 PLATANUS DR",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920265936",
"telephone_number": "760-297-1284",
"fax_number": "760-297-1279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29724 PLATANUS DR",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920265936",
"telephone_number": "760-297-1284",
"fax_number": "760-297-1279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRAR",
"first_name": "SUZANNE",
"middle_name": "E",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "RN490409",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE RN LICENSE NUMBER",
"identifier": "RN490409",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANESTHESIA LICENSE #",
"identifier": "AANA049186",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.