Individual provider Active NPI

Sossy R Farajian, NP

  • Nurse Practitioner
  • Roseville, CA
National Provider Identifier
1770989758
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NPF95000316 Issued in CA
Practice address
5 Medical Plaza Dr Ste 190
Roseville, CA 95661-2867
Phone
(916) 679-3590
Fax
(916) 482-3647
NPI assigned
Nov 18, 2014
Last updated
Oct 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NPF95000316 CA Primary
Family Nurse Practitioner 363LF0000X NP95000316 CA

Addresses

Primary practice location

5 Medical Plaza Dr Ste 190
Roseville, CA 95661-2867

Mailing address

1300 Ethan Way Ste 600
Sacramento, CA 95825-2296
Phone (916) 679-3513

Other practice location 1

1508 Alhambra Blvd Ste 200
Sacramento, CA 95816-6510
Phone (916) 679-3590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160907002944 CA Practitioner - Nurse Practitioner 7012207269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.24 of 100Reported as group
Quality
69.99
Promoting interoperability
100
Improvement activities
30
Cost
76.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NPF95000316CAMDNurse Practitioner
NP95000316CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Medicine Associates Sleep Lab Inc. CurrentSince Sep 15, 2016 Accepting new patients
Pulmonary Medicine Associates Medical Group, Inc Multi-Specialty CurrentSince Sep 15, 2016 Accepting new patients

Locations

6403 Coyle Ave
Ste 450
Carmichael, CA 95608
Phone (916) 482-7621

5 Medical Plaza Dr
Ste 190
Roseville, CA 95661
Phone (916) 679-3590

1300 Ethan Way
Ste 600
Sacramento, CA 95825
Phone (916) 482-7623

1485 River Park Dr
Ste 200
Sacramento, CA 95815
Phone (916) 325-1040

1508 Alhambra Blvd
Ste 200
Sacramento, CA 95816
Phone (916) 325-1040

Interoperability endpoints

  • Direct secure messaging: sshirikian355644@hisp.ehr.sutterhealth.org

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": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1770989758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 ETHAN WAY STE 600",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252296",
            "telephone_number": "916-679-3513",
            "fax_number": "916-679-3563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PLAZA DR STE 190",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612867",
            "telephone_number": "916-679-3590",
            "fax_number": "916-482-3647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1508 Alhambra Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958166510",
            "country_code": "US",
            "telephone_number": "916-679-3590",
            "fax_number": "916-482-3647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARAJIAN",
        "first_name": "SOSSY",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-18",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NPF95000316",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95000316",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.