AMNA FARRUKH
NPI 1992577803
Nurse Practitioner - Family in Tustin, CA

Q: What is Amna Farrukh's NPI number?

The NPI number for Amna Farrukh is 1992577803. It was assigned to this individual provider in the NPPES registry on October 24, 2023.

Q: What is Amna Farrukh'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 Amna Farrukh was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since October 24, 2023PECOS Enrolled

661 W 1ST ST STE G, TUSTIN, CA 92780(714) 665-9890(714) 665-9891 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2024, Oct 24, 2023 (2 updates tracked since 2023).

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About Amna Farrukh NPPES

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

AMNA FARRUKH (NPI 1992577803) is an individual family provider in Tustin, California, licensed in California (95027413) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1992577803

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMNA FARRUKH

Location Address661 W 1ST ST STE GTustin, CA 92780-2939

Mailing Address661 W 1st St Ste GTustin, CA 92780-2939 · (714) 665-9890 · Fax (714) 665-9891

Phone(714) 665-9890

Fax(714) 665-9891

Sole ProprietorNo

Enumeration DateOctober 24, 2023

Last NPPES UpdateAugust 13, 20242 updates tracked since enumeration

NPPES CertifiedAugust 13, 2024

✔ NPI 1992577803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95027413

661 W 1ST ST STE G, Tustin, CA 92780

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Secondary Practice Locations 2

Location 19918 Katella Ave Ste A-CAnaheim, CA 92804-6465 · Phone (714) 644-9494 · Fax (714) 644-9894

Location 211180 Warner Ave Ste 353Fountain Valley, CA 92708-7516 · Phone (714) 968-6789 · Fax (714) 202-2626

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amna Farrukh 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 92780 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

NICOLE ROLLE NOCHE NP

Nurse Practitioner (Women's Health)