Individual provider Active NPI

Stephanie Farajian

  • Family Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1972492700
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95032101 Issued in CA
Practice address
188 King St Unit 403
San Francisco, CA 94107-4904
Phone
(818) 669-9430
NPI assigned
Jun 27, 2025
Last updated
Jun 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95032101 CA Primary

Addresses

Primary practice location

188 King St Unit 403
San Francisco, CA 94107-4904

Mailing address

188 King St Unit 403
San Francisco, CA 94107-4904
Phone (818) 669-9430

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
I20250814003114 CA Practitioner - Nurse Practitioner 0143729434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RPM Care Coordination PCGroup PAC ID 6002205606, 42 clinicians

Practice addresses (Care Compare)

507 S Douglas St
FL 3
El Segundo, CA 90245-4810
Phone (800) 985-5596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95032101CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
RPM Care Coordination, PC CurrentSince Jun 1, 2025 Accepting new patients

Locations

507 S Douglas St
Fl 3
El Segundo, CA 90245

1100 Glendon Ave
Ste 1555
Los Angeles, CA 90024
Phone (669) 342-9449

99 Almaden Blvd
Ste 624
San Jose, CA 95113

Organizations & group practices 1

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": "1750982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1972492700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 KING ST UNIT 403",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941074904",
            "telephone_number": "818-669-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 KING ST UNIT 403",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941074904",
            "telephone_number": "818-669-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAJIAN",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-27",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95032101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.