Provider Demographics
NPI:1134949944
Name:FARRAR, AFI-SARAN
Entity type:Individual
Prefix:
First Name:AFI-SARAN
Middle Name:
Last Name:FARRAR
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10540 WHITE ROCK RD
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-6088
Mailing Address - Country:US
Mailing Address - Phone:916-704-4907
Mailing Address - Fax:
Practice Address - Street 1:10540 WHITE ROCK RD
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95670-6088
Practice Address - Country:US
Practice Address - Phone:916-704-4907
Practice Address - Fax:916-520-3925
Is Sole Proprietor?:No
Enumeration Date:2024-10-15
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172V00000XOther Service ProvidersCommunity Health Worker
No175T00000XOther Service ProvidersPeer Specialist
No374J00000XNursing Service Related ProvidersDoula