Individual provider Active NPI

Rita Farr, P.A.

  • Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1821310103
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA20864 Issued in CA
Practice address
2252 Beverly Blvd Ste 103
Los Angeles, CA 90057-2246
Phone
(213) 674-7424
Fax
(213) 674-7524
NPI assigned
Feb 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA20864 CA Primary

Addresses

Primary practice location

2252 Beverly Blvd Ste 103
Los Angeles, CA 90057-2246

Mailing address

2252 Beverly Blvd Ste 103
Los Angeles, CA 90057-2246
Phone (213) 674-7424

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
I20101006000277 CA Practitioner - Physician Assistant 0648462804 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carbon Health Medical Group of California PCGroup PAC ID 9032340047, 335 clinicians
Beverly Community ClinicGroup PAC ID 7810301926, 5 clinicians

Practice addresses (Care Compare)

14117 Limonite Ave
Suite 300
Eastvale, CA 92880-3864
Phone (951) 210-7237

2252 Beverly Blvd
Suite 103
Los Angeles, CA 90057-2246
Phone (213) 674-7424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA20864CAMDPhysician Assistant
20864CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thuy T M Nguyen M D Inc PastSince Jul 1, 2023 Accepting new patients
Lakeside Medical Associates, a Medical Group, Inc. Past Accepting new patients
Above Urgent Care Center PastSince Jul 1, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rita.farrpa.p1@direct.plannedparenthoodla.nextgenshare.com
  • Direct secure messaging: rita.reedyfarr.p1@direct.lakeside.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1821310103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2252 BEVERLY BLVD STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572246",
            "telephone_number": "213-674-7424",
            "fax_number": "213-674-7524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2252 BEVERLY BLVD STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572246",
            "telephone_number": "213-674-7424",
            "fax_number": "213-674-7524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARR",
        "first_name": "RITA",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-27",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.