Organization Active NPI

M.G. Farzin, D.D.S., Inc.

  • Dentist
  • Santa Ana, CA
National Provider Identifier
1013417443
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
43754 Issued in CA
Legal business name
M.G. FARZIN, D.D.S., INC.
Practice address
2010 East First Street
Suite 230
Santa Ana, CA 92705
Phone
(714) 546-5579
Fax
(714) 542-2785
NPI assigned
Feb 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mahin G Farzin, DDS
Title
Ceo
Phone
(714) 546-5579

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 43754 CA Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 52980 CA
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X 49050 CA

Addresses

Primary practice location

2010 East First Street
Suite 230
Santa Ana, CA 92705

Mailing address

2010 East First Street
Suite 230
Santa Ana, CA 92705
Phone (714) 546-5579

Other names 1

  • First Street Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2010 E 1st St
Ste 230
Santa Ana, CA 92705
Phone (714) 546-5579

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518393600000",
    "number": "1013417443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 EAST FIRST STREET",
            "address_2": "SUITE 230",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92705",
            "telephone_number": "714-546-5579",
            "fax_number": "714-542-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 EAST FIRST STREET",
            "address_2": "SUITE 230",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92705",
            "telephone_number": "714-546-5579",
            "fax_number": "714-542-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.G. FARZIN, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A",
        "authorized_official_last_name": "FARZIN",
        "authorized_official_first_name": "MAHIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-546-5579",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "43754",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "52980",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "49050",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Street Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.