Active NPI
Jose Fernando Farias
- Diagnostic Ultrasound Physician
- Los Angeles, CA
National Provider Identifier
1770028391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- License
- 2085U0001X
- Practice address
- 5161 Pomona Blvd Ste 213
Los Angeles, CA 90022-1749 - Phone
- (626) 316-0829
- NPI assigned
- Jan 5, 2017
- Last updated
- Jan 5, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 2085U0001X | 2085U0001X | CA | Primary |
Addresses
Primary practice location
5161 Pomona Blvd Ste 213
Los Angeles, CA 90022-1749
Mailing address
5161 Pomona Blvd Ste 213
Los Angeles, CA 90022-1749
Phone (626) 316-0829
Other names 1
- Mr. Jose Fernando Farias
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 |
|---|---|---|---|
| 2085U0001X | CA | MD | Diagnostic Ultrasound Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Procreate 4D LLC | Diagnostic Ultrasound | Past | Accepting new patients |
| Aria Diagnostic Imaging LLC | Diagnostic Ultrasound | Past | Accepting new patients |
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.
-
dba Aria Diagnostic Imaging
- Diagnostic Ultrasound Physician
- Los Angeles, CA
- NPI 1578086807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483574400000",
"number": "1770028391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5161 POMONA BLVD STE 213",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900221749",
"telephone_number": "626-316-0829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5161 POMONA BLVD STE 213",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900221749",
"telephone_number": "626-316-0829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARIAS",
"first_name": "JOSE",
"middle_name": "FERNANDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-05",
"last_updated": "2017-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "CA",
"license": "2085U0001X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOSE",
"last_name": "FARIAS",
"middle_name": "FERNANDO",
"prefix": "MR.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.