Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. FARIDAH MUMIN FNP
NPI 1710412432
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

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: October 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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

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 psychiatric/mental health provider in San Diego, California, licensed in California (NPF95008183) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710412432
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. FARIDAH MUMINCredential: FNP
Location Address12400 HIGH BLUFF DRSan Diego, CA 92130-3077
Mailing Address349 S La Fayette Park Pl Apt 125Los Angeles, CA 90057-1686 · (213) 840-7247
Sole ProprietorYes
Enumeration DateMay 1, 2017
Last NPPES UpdateOctober 21, 20262 updates tracked since enumeration
NPPES CertifiedOctober 21, 2026
✔ NPI 1710412432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · NPF95008183
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP133533 (TX)
12400 HIGH BLUFF DR, San Diego, CA 92130

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Faridah Mumin reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Marriage & Family Therapist
1126 N 2ND ST
El Cajon, CA 92021
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
Community Health
1821 S SAN JACINTO AVE STE D
San Jacinto, CA 92583
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: St. John's Community Health
  • 404 clinicians in this Medicare group
Psychiatric/Mental Health
200 N VERMONT AVE UNIT NO340
Los Angeles, CA 90004
  • Reassigned Medicare billing, California enrollment
Clinical
6203 SAN IGNACIO AVE STE 110
San Jose, CA 95119
  • Reassigned Medicare billing, California enrollment
  • 81 clinicians in this Medicare group
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Occupational Therapist
12400 HIGH BLUFF DR
SAN DIEGO, CA 92130
Physical Therapist
12400 HIGH BLUFF DR
SAN DIEGO, CA 92130
Pharmacist
12400 HIGH BLUFF DR
SAN DIEGO, CA 92130
Social Worker
12400 HIGH BLUFF DR
SAN DIEGO, CA 92130
Physical Therapist
12400 HIGH BLUFF DR
SAN DIEGO, CA 92130
Physical Therapist
12400 HIGH BLUFF DR
SAN DIEGO, CA 92130
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
12400 HIGH BLUFF DR
SAN DIEGO, CA 92130
Physical Therapy Assistant
12400 HIGH BLUFF DR
SAN DIEGO, CA 92130

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Faridah Mumin located?

Faridah Mumin practices at 12400 High Bluff Dr, San Diego, CA 92130. The listed phone number is (832) 453-0704.

What is Faridah Mumin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Faridah Mumin enrolled in Medicare?

Yes. Faridah Mumin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Faridah Mumin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Faridah Mumin reassigns Medicare benefits to 5 organizations: Waking Up On The Toilet (El Cajon, CA), St. Johns Community Health (San Jacinto, CA), A Beautiful Mind Behavioral Health Nursing Professional Corporation (Los Angeles, CA), Sondermind PC (San Jose, CA) and Grow Healthcare Group PC (San Jose, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Faridah Mumin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Faridah Mumin was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.