Sossy R Farajian
Nurse Practitioner

Address: 1485 River Park Dr Ste 200, Sacramento, CA 95815-4530
Phone: 9166793590

Sossy R Farajian (NPI# 1770989758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1770989758
Entity Type Individual
Full Name Sossy R Farajian
Credential NP
Gender Female
Practice Address 1485 River Park Dr Ste 200
Sacramento
CA 95815-4530
Practice Telephone 9166793590
Practice Fax Number 9164823647
Mailing Address 1300 Ethan Way Ste 600
Sacramento
CA 95825-2296
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2014-11-18
Last Update Date 2018-05-09

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 363LF0000X Nurse Practitioner · Family Physician Assistants & Advanced Practice Nursing Providers NP95000316 CA
Yes 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers NPF95000316 CA

Secondary Practice Locations

Address Telephone Number Fax Number
5 Medical Plaza Dr Ste 190, Roseville, CA 956612867 9166793590 9164823647
6403 Coyle Ave Ste 450, Carmichael, CA 956080361 9166793590 9164823647

Physician Overview

NPI 1770989758
PAC ID by PECOS 7012207269
Professional Enrollment ID I20160907002944
Full Name Sossy Rita Farajian
Organization Legal Name PULMONARY MEDICINE ASSOCIATES MEDICAL GROUP INC.
Phone Number 9163251040
Gender F
Graduation Year 2013
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 4981506730
Number of Group Practice Members 48
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050516 MERCY SAN JUAN MEDICAL CENTER
050309 SUTTER ROSEVILLE MEDICAL CENTER

Office Location

Street Address 1485 RIVER PARK DR STE 200
City SACRAMENTO
State CA
Zip Code 95815-4530

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356464333 Jenifer Lyn Rofkahr Nurse Practitioner 1485 River Park Dr Ste 200, Sacramento, CA 95815-4530 2007-04-06
1336651967 Daniel Klug Nurse Practitioner 1485 River Park Dr Ste 200, Sacramento, CA 95815-4530 2017-11-05
1033651195 Christopher James Seligman Registered Nurse 1485 River Park Dr Ste 200, Sacramento, CA 95815-4530 2016-11-07
1720456270 Amy Marie Samolis Nurse Practitioner 1485 River Park Dr Ste 200, Sacramento, CA 95815-4530 2015-09-14
1508243452 Marie Elaine Snyder Registered Nurse 1485 River Park Dr Ste 200, Sacramento, CA 95815-4530 2015-04-29
1710396825 Lindsey T Canavesio Nurse Practitioner 1485 River Park Dr Ste 200, Sacramento, CA 95815-4530 2014-08-04
1831456086 Mandeep Kaur Grewal Internal Medicine 1485 River Park Dr Ste 200, Sacramento, CA 95815 2012-04-12
1154603850 Rebecca Lynn Rogers Nurse Practitioner 1485 River Park Dr Ste 200, Sacramento, CA 95815-4530 2011-09-19
1942511506 Stacy L. Frawley Nurse Practitioner 1485 River Park Dr Ste 200, Sacramento, CA 95815-4530 2010-06-29
1063731966 Nathaniel Gordon Internal Medicine 1485 River Park Dr Ste 200, Sacramento, CA 95815-4530 2010-05-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669941159 Maria Luisa Plasencia Registered Nurse Martin Luther King Jr. Technology Academy, 3051 Fairfield St, Sacramento, CA 95815 2018-11-14
1700386547 Rww Outpatient Rehab Services, LLC Clinic/Center 1610 Arden Way Ste 195, Sacramento, CA 95815 2018-02-19
1114439262 Ahc Healthcare of Sacramento Corporation Skilled Nursing Facility 1411 Expo Pkwy, Sacramento, CA 95815 2017-10-30
1588173686 Rebekah Collette Curtis Counselor 1048 Dixieanne Ave. #28, Sacramento, CA 95815 2017-09-21
1497284145 Prohealth Home Care Inc Hospice Care, Community Based 1375 Exposition Blvd Suite 250b, Sacramento, CA 95815 2017-06-07
1386982296 Shailesh M Asaikar Md Inc Clinic/Center 1111 Exposition Blvd., Bldg 700, Sacramento, CA 95815 2013-01-28
1609129618 Jackey Care's Housing Clinic/Center 2447 Boxwood St, Sacramento, CA 95815 2012-10-16
1144549304 Rowena Deleon Nolasco Nurse Practitioner 577 Las Palmas Ave., Health for All, Sacremento, CA 95815 2010-05-26
1659409027 Amy Ann Smith Social Worker 1955 Canterbury Rd, Sacramento, CA 95815 2007-02-28
1194871152 Nivano Physicians, Inc. Health Maintenance Organization 1420 River Park Dr Ste 200, Sacramento, CA 95815 2007-01-25
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669946687 Erin Della-rose Nurse Practitioner 100 Howe Ave Ste 240n, Sacramento, CA 95825-8214 2019-01-12
1356818819 Joshua Naeger Nurse Practitioner 8715 Center Pkwy, Sacramento, CA 95823-7921 2018-11-01
1346716941 Sarah Marie Woods Nurse Practitioner 3814 Auburn Blvd Ste 72, Sacramento, CA 95821-2123 2018-10-22
1831605443 Quintisa Demel Curry Nurse Practitioner 3535 65th St Ste C, Sacramento, CA 95820 2017-12-19
1356876981 Sukhraj Mann Nurse Practitioner 2984 Muttonbird Way, Sacramento, CA 95834-2623 2017-04-20
1184174534 Jennifer M Stegner Nurse Practitioner 1625 Stockton Blvd #104, Sacramento, CA 95816 2016-10-10
1083169908 Joshua Reza Khoshsefat Nurse Practitioner 555 Capitol Mall Ste 570, Sacramento, CA 95814-4502 2016-08-21
1801253323 Active Life Wound Clinics Nurse Practitioner 87 Scripps Dr Ste 116, Sacramento, CA 95825-6379 2016-01-28
1346519139 Center for Community Health and Well-being, Inc Nurse Practitioner 7600 Hospital Drive, Suite I, Sacramento, CA 95823-5406 2011-12-22
1457658502 April Fan Nurse Practitioner 3691 Fair Oaks Blvd, Sacramento, CA 95864-7203 2011-02-24
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Competitor

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City SACRAMENTO
Zip Code 95815

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Dataset Information

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.

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