Healthcare Provider Details

I. General information

NPI: 1497672034
Provider Name (Legal Business Name): FARIAS HEALTH PARTNERS MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

870 S YORBA ST
ORANGE CA
92869-5052
US

IV. Provider business mailing address

870 S YORBA ST
ORANGE CA
92869-5052
US

V. Phone/Fax

Practice location:
  • Phone: 714-313-2273
  • Fax:
Mailing address:
  • Phone: 714-313-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JESUS M REYES
Title or Position: AUTHORIZED OFFICIAL / OWNER
Credential: PA-C
Phone: 714-313-2273