Organization Active NPI

Fara Salehi DDS a Professional Corporation

  • General Practice Dentistry
  • Tarzana, CA
National Provider Identifier
1073528865
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36608 Issued in CA
Legal business name
FARA SALEHI DDS A PROFESSIONAL CORPORATION
Practice address
18740 Ventura Blvd
Ste 105
Tarzana, CA 91356
Phone
(818) 342-2000
Fax
(818) 708-8000
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

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

Authorized official

Name
Fara Salehi, DDSNPI 1437557360
Title
President & Owner
Phone
(818) 342-2000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 36608 CA Primary

Addresses

Primary practice location

18740 Ventura Blvd
Ste 105
Tarzana, CA 91356

Mailing address

18740 Ventura Blvd
Ste 105
Tarzana, CA 91356
Phone (818) 342-2000

National Provider Directory

National Provider Directory

Locations

18740 Ventura Blvd
Ste 105
Tarzana, CA 91356
Phone (818) 342-2000

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": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1073528865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18740 VENTURA BLVD",
            "address_2": "STE 105",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "91356",
            "telephone_number": "818-342-2000",
            "fax_number": "818-708-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18740 VENTURA BLVD",
            "address_2": "STE 105",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "91356",
            "telephone_number": "818-342-2000",
            "fax_number": "818-708-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARA SALEHI DDS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "SALEHI",
        "authorized_official_first_name": "FARA",
        "authorized_official_title_or_position": "PRESIDENT & OWNER",
        "authorized_official_telephone_number": "818-342-2000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.