Organization Active NPI

Los Angeles ENT and Facial Restoration Institute, Inc

  • Otolaryngology Physician
  • Turlock, CA
National Provider Identifier
1043613532
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
C52571 Issued in CA
Legal business name
LOS ANGELES ENT AND FACIAL RESTORATION INSTITUTE, INC
Practice address
3800 Geer Rd Ste 200
Turlock, CA 95382-1146
Phone
(209) 668-3063
Fax
(209) 668-4992
NPI assigned
Sep 29, 2014
Last updated
Dec 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Authorized official

Name
Sherif Ammar, MDNPI 1497746598
Title
Owner
Phone
(201) 725-0138

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X C52571 CA Primary

Addresses

Primary practice location

3800 Geer Rd Ste 200
Turlock, CA 95382-1146

Mailing address

3800 Geer Rd Ste 200
Turlock, CA 95382-1146
Phone (209) 668-3063

National Provider Directory

National Provider Directory

Locations

3800 Geer Rd
Ste 200
Turlock, CA 95382
Phone (209) 250-1442

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1043613532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 GEER RD STE 200",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953821146",
            "telephone_number": "209-668-3063",
            "fax_number": "209-668-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 GEER RD STE 200",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953821146",
            "telephone_number": "209-668-3063",
            "fax_number": "209-668-4992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES ENT AND FACIAL RESTORATION INSTITUTE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "AMMAR",
        "authorized_official_first_name": "SHERIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-725-0138",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "C52571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.