Jared Gabriel Farmer
Occupational Therapy Assistant in Oceanside, CA. Individual provider (NPI-1).
NPI number1053145482
StatusActive
Last updated in NPPESAug 28, 2024
Details
- NPI
- 1053145482
- Entity type
- Individual (NPI-1)
- Name
- Jared Gabriel Farmer
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2024
- Certification date
- Aug 28, 2024
- Last updated
- Aug 28, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 6756 | CA | Yes |
Practice location
1949 Avenida Del OroOceanside, CA 92056-5829
Phone 760-945-6500
Mailing address
730 Hardell LnVista, CA 92084-6625
Phone 760-330-7833
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Other Occupational Therapy Assistant providers in Oceanside, CA
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