Provider Demographics
NPI:1285298059
Name:FARIAS, FRANCISCO IVAN (MD)
Entity type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:IVAN
Last Name:FARIAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:FRANCISCO
Other - Middle Name:IVAN
Other - Last Name:FARIAS-OJEDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3200 BELL RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95603-9244
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3200 BELL RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-9244
Practice Address - Country:US
Practice Address - Phone:530-888-7616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-27
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD61192591207R00000X, 208M00000X
CAA194216207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist