Active NPI
Pamela Farah, PA-C
- Physician Assistant
- Chino Hills, CA
National Provider Identifier
1972088763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 56008
- Practice address
- 15944 Los Serranos Country Club Dr Ste 230
Chino Hills, CA 91709-3991 - Phone
- (909) 355-7855
- NPI assigned
- Sep 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 56008 | CA | Primary |
Addresses
Primary practice location
15944 Los Serranos Country Club Dr Ste 230
Chino Hills, CA 91709-3991
Mailing address
21514 Barbi LN
Diamond Bar, CA 91765-3807
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56008 | CA | MD | Community/Retail Pharmacy |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638662400000",
"number": "1972088763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21514 BARBI LN",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917653807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15944 LOS SERRANOS COUNTRY CLUB DR STE 230",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917093991",
"telephone_number": "909-355-7855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARAH",
"first_name": "PAMELA",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-27",
"last_updated": "2021-12-05",
"certification_date": "2021-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "CA",
"license": "56008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chino Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.