DR. JOHN P. FARACI (NPI# 1104845775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104845775 |
| Entity Type | Individual |
| Full Name | DR. JOHN P. FARACI |
| Credential | MD |
| Practice Address |
11370 Anderson St # 3200 Loma Linda CA 92354 |
| Mailing Address |
11370 Anderson St # 3200 Loma Linda CA 92354-3450 |
| Practice Telephone | 9095582395 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2019-10-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | 0438327 | KS | Allopathic & Osteopathic Physicians |
| N | 207K00000X | Allergy & Immunology | ME46902 | FL | Allopathic & Osteopathic Physicians |
| Y | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
G162574 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 201 Albert Ave, Scott City, KS 678716117 | 6208725811 | 6208723660 |
| Street Address |
11370 ANDERSON ST # 3200 |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
| 1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
| 1932725645 | Dev Priya Singhvi | Student in an Organized Health Care Education/Training Program | 11332 Mountain View Avenue, Westerly Building, Suite C, Gme Office, Loma Linda, CA 92354 | 2020-06-18 |
| 1750901278 | Angela N Torres | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Emergency Medicine, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-04-24 |
| 1548899230 | Holistic Physical Therapy Inc. | Physical Therapist | 25003 Starr Str, Loma Linda, CA 92354 | 2020-04-03 |
| 1508494071 | Eric Allen | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Pediatrics, General, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-03-31 |
| 1730640244 | Rose Valley Rcfe | Assisted Living Facility | 11574 Poplar St, Loma Linda, CA 92354 | 2019-03-27 |
| 1336633676 | David A Lawrence | Student in an Organized Health Care Education/Training Program | Loma Linda University Hospital, 11234 Anderson St., Loma Linda, CA 92354 | 2018-06-20 |
| 1205329547 | Rachael Nicole Spady | Student in an Organized Health Care Education/Training Program | Loma Linda University Health - Obstetrics & Gynecology, 11234 Anderson St, Loma Linda, CA 92354 | 2018-06-12 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| Find all providers in zip 92354 | ||||
| Taxonomy Code | 2080P0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Allergy/Immunology |
| A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: title modified, definition added, source added] Additional Resources: A Certification of Special Qualifications (CSQ) is issued by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285103440 | Alan Philip Burckin | Pediatrics | 1882 3rd Ave, Walnut Creek, CA 94597-2545 | 2018-11-17 |
| 1003278086 | Neema Izadi | Pediatrics | 4650 W Sunset Blvd # 75, Los Angeles, CA 90027-6062 | 2016-03-28 |
| 1033300769 | Batavia Woods - Allergy | Pediatrics | 725 W. Laveta, Suite 100, Orange, CA 92868-3835 | 2007-08-07 |
| 1427193457 | Lyne Goodlett Scott | Pediatrics | 1801 Marengo St Rm 1g1, Los Angeles, CA 90033-1365 | 2007-02-20 |
| 1437256211 | Grace Wee Lim | Pediatrics | 5088 N Fresno St, Fresno, CA 93710-7611 | 2006-09-20 |
| 1083721351 | Sean Austin Mcghee | Pediatrics | 269 Campus Dr Rm 2115, Ccsr Building, Stanford, CA 94305-5101 | 2006-08-24 |
| 1669880787 | Adventist Health Physicians Network | Pediatrics | 1700 E Cesar E Chavez Ave, #3000, Los Angeles, CA 90033-2424 | 2014-08-01 |
| 1316269038 | Anthony Terry Hirsch | Pediatrics | 1202 Maricopa Hwy, Ste A, Ojai, CA 93023-3169 | 2010-02-22 |
| 1336322437 | Fresno Pediatrics, A Medical Corporation | Pediatrics | 2900 Fresno St, Suite 102, Fresno, CA 93721-1439 | 2007-12-11 |
| 1639365208 | Dr Maria Elena Rodriguez Inc A Medical Corporation | Pediatrics | 2417 Whittier Blvd, Los Angeles, CA 90023-1355 | 2007-09-18 |
| Find all providers with the same taxonomy | ||||
| City | LOMA LINDA |
| Zip Code | 92354 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.