Individual provider Active NPI

Patricia Dianne Farnam, PA-C

  • Physician Assistant
  • Westminster, CA
National Provider Identifier
1982914792
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
7955 Westminster Blvd
Westminster, CA 92683-4001
Phone
(714) 379-3221
NPI assigned
Oct 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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 Primary

Addresses

Primary practice location

7955 Westminster Blvd
Westminster, CA 92683-4001

Mailing address

7955 Westminster Blvd.
Westminster, CA 92683

Other identifiers 1

IdentifierTypeStateIssuer
1094361OtherCANCCPA

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
I20110322000453 CA Practitioner - Physician Assistant 7618150178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pathway Medical Group IncGroup PAC ID 5092776690, 17 clinicians

Practice addresses (Care Compare)

12462 Brookhurst St
Suite Aandb
Garden Grove, CA 92840-4759
Phone (714) 636-9852

12665 Garden Grove Blvd
Suite 502Aandb
Garden Grove, CA 92843-1901
Phone (714) 537-7800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21281CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathway Medical Group, Inc Physician Assistant Current Accepting new patients
Pathway Medical Group, Inc Physician Assistant CurrentSince Jan 23, 2011 Accepting new patients

Locations

12665 Garden Grove Blvd
Ste 502
Garden Grove, CA 92843
Phone (714) 534-3900

12665 Garden Grove Blvd
Ste 502AB
Garden Grove, CA 92843
Phone (714) 537-7800

7955 Westminster Blvd
Westminster, CA 92683
Phone (714) 379-2411

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1982914792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7955 WESTMINSTER BLVD.",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "92683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7955 WESTMINSTER BLVD",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834001",
            "telephone_number": "714-379-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARNAM",
        "first_name": "PATRICIA",
        "middle_name": "DIANNE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1094361",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.