Individual ProviderDavid GoldfarbPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1111 Exposition Blvd Bldg 700, Sacramento, CA 95815-4314(916) 736-3399PECOS EnrollmentBased on the most recent information from CMS, provider David Goldfarb is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1144333642Provider TypeIndividualFull NameGoldfarb, DavidCredentialPAGenderMaleSole ProprietorNoEnumeration Date8/17/2006Last Updated5/14/2020Contact InformationPractice LocationPractice Address1111 Exposition Blvd Bldg 700, Sacramento, CA 95815-4314Phone(916) 736-3399Fax(916) 233-4171Mailing LocationMailing Address1111 Exposition Blvd Bldg 700, Sacramento, CA 95815-4314Phone(916) 736-3399Fax(916) 736-3350Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA21376CaliforniaCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense00003315Florida