Active NPI
Robert Farias, C.F.A.
- Surgical Physician Assistant
- Longmont, CO
National Provider Identifier
1740393131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 00F638
- Practice address
- 9539 Majestic Rd
Longmont, CO 80504-7741 - Phone
- (303) 652-6040
- Fax
- (303) 652-6090
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 00F638 | CO | Primary |
Addresses
Primary practice location
9539 Majestic Rd
Longmont, CO 80504-7741
Mailing address
9539 Majestic Rd
Longmont, CO 80504-7741
Phone (303) 652-6040
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 |
|---|---|---|---|
| 00F638 | CO | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740393131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9539 MAJESTIC RD",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805047741",
"telephone_number": "303-652-6040",
"fax_number": "303-652-6090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9539 MAJESTIC RD",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805047741",
"telephone_number": "303-652-6040",
"fax_number": "303-652-6090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARIAS",
"first_name": "ROBERT",
"credential": "C.F.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CO",
"license": "00F638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longmont, CO
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.