MRS. FARIDAH MUMIN FNP
NPI 1710412432
Nurse Practitioner - Family in San Diego, CA

Q: What is Faridah Mumin's NPI number?

The NPI number for Faridah Mumin is 1710412432. It was assigned to this individual provider in the NPPES registry on May 1, 2017.

Q: What is Faridah Mumin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Faridah Mumin was last updated on April 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 01, 2017PECOS Enrolled

12400 HIGH BLUFF DR, SAN DIEGO, CA 92130(832) 453-0704 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 3, 2025, Oct 9, 2018 (2 updates tracked since 2018).

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About Mrs. Faridah Mumin Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. FARIDAH MUMIN FNP (NPI 1710412432) is an individual family provider in San Diego, California, licensed in Texas (AP133533) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710412432

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. FARIDAH MUMINCredential: FNP

Location Address12400 HIGH BLUFF DRSan Diego, CA 92130-3077

Mailing Address349 S Lafeyette Park Place Apt 125Los Angeles, CA 90057 · (213) 840-7247

Phone(832) 453-0704

Sole ProprietorYes

Enumeration DateMay 1, 2017

Last NPPES UpdateApril 3, 20252 updates tracked since enumeration

NPPES CertifiedApril 3, 2025

✔ NPI 1710412432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · AP133533

Also ListedNurse PractitionerTaxonomy 363L00000X · License NPF95008183 (CA)

12400 HIGH BLUFF DR, San Diego, CA 92130

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Faridah Mumin Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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