NPIMap

Individual provider Active NPI

Glen C Farkas, M.D.

  • General Practice Physician
  • West Hills, CA
National Provider Identifier
1861573149
Registry record updated Dec 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G56249 Issued in CA
Practice address
7230 Medical Center Dr
Suite 302
West Hills, CA 91307-1907
Phone
(818) 518-5980
Fax
(818) 337-2049
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G56249 CA
General Practice Physician 208D00000X G56249 CA Primary
Obesity Medicine (Family Medicine) Physician 207QB0002X G56249 CA
Allergy Physician 207KA0200X G56249 CA

Addresses

Primary practice location

7230 Medical Center Dr
Suite 302
West Hills, CA 91307-1907

Mailing address

7230 Medical Center Dr
Suite 302
West Hills, CA 91307-1907
Phone (818) 518-5980

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
56249CAMDDentist
G56249CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Clinica Medica General Medical Center Inc. Past Accepting new patients
Pacific Rejuvination Medical a Professional Corp Past Accepting new patients
Santa Ana Clinica Medica General Medical Center Inc. PastSince Apr 28, 2003 Accepting new patients
East Los Angeles Clinica Medica General Medical Center Inc Past Accepting new patients
Cedars Towers Surgical Medical Group Past Accepting new patients

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449964800000",
    "number": "1861573149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CENTER DR",
            "address_2": "SUITE 302",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071907",
            "telephone_number": "818-518-5980",
            "fax_number": "818-337-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CENTER DR",
            "address_2": "SUITE 302",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071907",
            "telephone_number": "818-518-5980",
            "fax_number": "818-337-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARKAS",
        "first_name": "GLEN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2015-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G56249",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G56249",
            "primary": true
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "CA",
            "license": "G56249",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CA",
            "license": "G56249",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.