1083082887 NPI number — DEPARTMENT OF VETERANS AFFAIRS

Table of content: EMILY JACQUELINE FARNON BA (NPI 1902090418)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083082887 NPI number — DEPARTMENT OF VETERANS AFFAIRS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DEPARTMENT OF VETERANS AFFAIRS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1083082887
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/10/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
901 MARKET ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN FRANCISCO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94103-1729
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
415-489-3303
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
901 MARKET ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94103-1729
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-489-3303
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/10/2015

Additional Information

Authorized Official

Authorized Official Last Name:
ARREDONDO
Authorized Official First Name:
AMADA
Authorized Official Middle Name:
YOLANDA
Authorized Official Title or Position:
SOCIAL WORKER
Authorized Official Telephone Number:
415-489-3303

Provider Taxonomy Codes

  • Taxonomy code: 251B00000X , with the licence number:  64194 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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