Individual provider Active NPI

Suzanne E Farrar, CRNA

  • Registered Nurse
  • Escondido, CA
National Provider Identifier
1730297250
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN490409 Issued in CA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
RN490409OtherCASTATE RN LICENSE NUMBER
AANA049186OtherCAANESTHESIA LICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100430000638 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981732583 Reassigns benefits to 1 organization

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
Murrieta Anesthesia CorporationGroup PAC ID 7911033808, 4 clinicians

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

LicenseStateTypeSpecialty
RN490409CAMDRegistered Nurse
2382CAMDPediatric Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Murrieta Anesthesia Corporation CurrentSince Mar 10, 2010 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.

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.

Verify at the official NPI Registry.