DR. GEORGE CARR FAREED (NPI# 1720074313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720074313 |
| Entity Type | Individual |
| Full Name | DR. GEORGE CARR FAREED |
| Credential | MD |
| Practice Address |
751 W Legion Rd Suite 105 Brawley CA 92227-7754 |
| Mailing Address |
Po Box 7096 Stockton CA 95267-0096 |
| Practice Telephone | 7603448750 |
| Practice Fax Number | 7603440558 |
| Mailing Telephone | 2099567725 |
| Mailing Fax Number | 2099567733 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2017-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | G31850 | CA | Other Service Providers |
| N | 207Q00000X | Family Medicine | G31850 | CA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | G31850 | CA | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | G31850 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
751 W LEGION RD SUITE 105 |
| City | BRAWLEY |
| State | CA |
| Zip Code | 92227-7754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326693540 | Barnes Orthopedic National Enterprises of California, PC | Orthopaedic Surgery | 751 W Legion Rd, Brawley, CA 92227-7732 | 2019-08-05 |
| 1386143147 | Valley Sunshine Medical Associates Inc | Urology | 751 W Legion Rd, Brawley, CA 92227-7732 | 2018-02-07 |
| 1073051223 | Lwbba Grissell Chait Llamas Md Inc | Pediatrics | 751 W Legion Rd, Suite 103, Brawley, CA 92227-7732 | 2017-02-08 |
| 1750748406 | Ravi Raj Singh Md Inc | Psychiatry & Neurology | 751 W Legion Rd, Bldg 2 Suite 300, Brawley, CA 92227-7732 | 2016-01-26 |
| 1821462912 | J R Vemulapalli Md Inc | Urology | 751 W Legion Rd, Suite 103, Brawley, CA 92227-7732 | 2015-11-30 |
| 1992175004 | Mercy Diana Valenzuela | Midwife | 751 W Legion Rd, Brawley, CA 92227-7732 | 2015-10-01 |
| 1811386329 | Rogelio Fimbres | Nurse Practitioner | 751 W Legion Rd, Suite 103, Brawley, CA 92227-7732 | 2015-01-21 |
| 1720401607 | Pioneers Memorial Healthcare District | Clinic/Center | 751 W Legion Rd, Suite 103, Brawley, CA 92227-7732 | 2014-01-28 |
| 1629409016 | Inpatient Care of Southern California Inc | Hospitalist | 751 W Legion Rd, 105, Brawley, CA 92227-7732 | 2013-12-10 |
| 1134567530 | Lwbba Grissell Chait Llamas | Pediatrics | 751 W Legion Rd, Suite 103, Brawley, CA 92227-7732 | 2013-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548755283 | Imperial Valleyrespite, Inc. | Behavioral Analyst | 630 S. Imperial Ave., Ste. 2, Brawley, CA 92227 | 2018-06-26 |
| 1013424704 | Denise Vizcarra | Behavior Technician | 630 S Brawley Ave Ste 2, Brawley, CA 92227 | 2018-01-04 |
| 1831465178 | Marylou Cayetano Thelmo | Obstetrics & Gynecology | 1166 K Street, Brawley, CA 92227 | 2012-03-30 |
| 1396046983 | Dominga Marquez De Vera | Pharmacist | 475 West Main Street, Vons Pharmacy, Brawley, CA 92227 | 2010-11-12 |
| 1033441795 | Marshall Ray Debruler | Physician Assistant | 207 W. Legion Rd, Brawley, CA 92227 | 2010-02-05 |
| 1073758280 | Brawley Physical Therapy | Clinic/Center | 529 E Street, Brawley, CA 92227 | 2008-12-03 |
| 1609058924 | Leticia Bustamante | Nurse Practitioner | 751 West Legion Road, Suite 102, Brawley, CA 92227 | 2007-11-28 |
| 1073701504 | Imperial County Behavioral Health Services | Clinic/Center | 385 D St Rm 30, Brawley, CA 92227 | 2007-10-10 |
| 1013118801 | Joseph Kurt Bivens | Plastic Surgery | 751 W Legion Rd Ste 300, Brawley, CA 92227 | 2007-05-30 |
| 1083771489 | Yong Tan | Family Medicine | 751 West Legion Road, Suite 102, Brawley, CA 92227 | 2007-01-03 |
| Find all providers in zip 92227 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659707586 | Helen Pensanti | General Practice | 608 G Street, Suite 1a, Brawley, CA 92227 | 2013-09-24 |
| 1902150675 | Virgilio C. Almaden, M.d., A.m.c. | General Practice | 751 W Legion Rd, Suite 205, Brawley, CA 92227-7732 | 2012-11-02 |
| 1992068191 | Rasoul Montazeri | General Practice | 125 South 5th Street, Brawley, CA 92227 | 2012-06-21 |
| 1558627174 | Ashu Garg | General Practice | 900 Main St, Brawley, CA 92227-2630 | 2012-04-09 |
| 1114137270 | Mark Whyte Md A Professional Medical Corporation | General Practice | 608 G St, Suite 2-b, Brawley, CA 92227-2568 | 2007-05-23 |
| 1790891968 | Theodore Louis Schlater IIi | General Practice | 126 Main St, Brawley, CA 92227-2349 | 2006-08-21 |
| 1831156116 | Virgilio C Almaden | General Practice | 751 W Legion Rd, Suite 205, Brawley, CA 92227-7732 | 2006-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992986 | Lindsay Fry | General Practice | 375 Bonair St Apt 1, La Jolla, CA 92037-5911 | 2020-11-04 |
| 1255939674 | Kiira Health Practice Ca PC | General Practice | 123 S Figueroa St Apt 1202, Los Angeles, CA 90012-5490 | 2020-10-16 |
| 1851999627 | Golden State Medical Center PC | General Practice | 2551 San Ramon Valley Blvd Ste 108, San Ramon, CA 94583-1661 | 2020-10-14 |
| 1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
| 1376156109 | Gtl Medical Group Inc | General Practice | 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 | 2020-08-31 |
| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
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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.