Healthcare Provider Details

I. General information

NPI: 1275910622
Provider Name (Legal Business Name): AARON DAVID FARMER PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2015
Last Update Date: 06/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

845 W EAST AVE
CHICO CA
95926-2002
US

IV. Provider business mailing address

3400 DATA DR
RANCHO CORDOVA CA
95670-7956
US

V. Phone/Fax

Practice location:
  • Phone: 530-896-9400
  • Fax:
Mailing address:
  • Phone: 916-379-2726
  • Fax: 916-853-7874

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number52455
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: