Individual provider Active NPI

Tianna Farren, PA

  • Physician Assistant
  • Encinitas, CA
National Provider Identifier
1922421536
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA4956 Issued in MA
Practice address
561 Saxony PL Ste 101
Encinitas, CA 92024-7700
Phone
(760) 503-4703
NPI assigned
Feb 3, 2014
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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 PA4956 MA Primary

Addresses

Primary practice location

561 Saxony PL Ste 101
Encinitas, CA 92024-7700

Mailing address

561 Saxony PL Ste 101
Encinitas, CA 92024-7700
Phone (760) 503-4703

Other practice location 1

226 Field St
New Bedford, MA 02740-2133
Phone (508) 979-5557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141114000856 MA Practitioner - Physician Assistant 5193947752 Reassigns benefits to 2 organizations
I20251219003605 CA Practitioner - Physician Assistant 5193947752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Bold Health Medical Group a Professional CorporationGroup PAC ID 9638570716, 10 clinicians
Boston Neurobehavioral Associates, LLCGroup PAC ID 9436142429, 159 clinicians

Practice addresses (Care Compare)

Encinitas, CA 92024
Phone (760) 503-4703

116 Belmont St
RM 26
Worcester, MA 01605-2964
Phone (508) 979-5557

226 -230 Field St
New Bedford, MA 02740-2133
Phone (508) 817-5129

226 Field St
New Bedford, MA 02740-2133
Phone (508) 979-5557

67 Union St
Natick, MA 01760-7700
Phone (508) 817-5129

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64565CAMDGeneral Practice Dentistry
PA4956MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bold Health Medical Group, a Professional Corporation CurrentSince Nov 24, 2025 Accepting new patients

Locations

561 Saxony Pl
Ste 101
Encinitas, CA 92024
Phone (760) 503-4703

617 Saxony Pl
Ste 103
Encinitas, CA 92024
Phone (706) 296-3406

Organizations & group practices 3

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": "1391385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1922421536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 SAXONY PL STE 101",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920247700",
            "telephone_number": "760-503-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 SAXONY PL STE 101",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920247700",
            "telephone_number": "760-503-4703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "226 Field St",
            "address_purpose": "LOCATION",
            "city": "New Bedford",
            "state": "MA",
            "postal_code": "027402133",
            "country_code": "US",
            "telephone_number": "508-979-5557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARREN",
        "first_name": "TIANNA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-03",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA4956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.