Individual provider Active NPI

Farina Islam, M.D.

  • Obstetrics & Gynecology Physician
  • Poway, CA
National Provider Identifier
1922444306
Registry record updated Aug 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
155812 Issued in CA
Practice address
15706 Pomerado Rd Ste 110
Poway, CA 92064
Phone
(858) 485-0130
Fax
(858) 485-9424
NPI assigned
May 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2157597 MI
Obstetrics & Gynecology Physician 207V00000X 155812 CA Primary

Addresses

Primary practice location

15706 Pomerado Rd Ste 110
Poway, CA 92064

Mailing address

15706 Pomerado Rd Ste 110
Poway, CA 92064-2032
Phone (858) 485-0130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180727002331 CA Practitioner - Obstetrics/Gynecology 1658669106 Reassigns benefits to 1 organization
I20221114001605 OK Practitioner - Obstetrics/Gynecology 1658669106 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
155812CAMDObstetrics & Gynecology Physician
2157597MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince May 15, 2022 Accepting new patients
Obhg Oklahoma, P.C. Obstetrics & Gynecology CurrentSince Aug 4, 2022 Accepting new patients
Palomar Health Past Accepting new patients

Locations

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

1812 Verdugo Blvd
Glendale, CA 91208
Phone (818) 246-8000

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534550400000",
    "number": "1922444306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15706 POMERADO RD STE 110",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642032",
            "telephone_number": "858-485-0130",
            "fax_number": "858-485-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15706 POMERADO RD STE 110",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "92064",
            "telephone_number": "858-485-0130",
            "fax_number": "858-485-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLAM",
        "first_name": "FARINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-13",
        "last_updated": "2018-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "2157597",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "155812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

Verify at the official NPI Registry.