Active NPI
Ahmed Farid, DMD
- Periodontics
- San Dimas, CA
National Provider Identifier
1073958286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 106588
- Practice address
- 337 Calle Canela
San Dimas, CA 91773-4803 - Phone
- (310) 880-7057
- NPI assigned
- May 1, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 106588 | CA | Primary |
Addresses
Primary practice location
337 Calle Canela
San Dimas, CA 91773-4803
Mailing address
337 Calle Canela
San Dimas, CA 91773-4803
Phone (310) 880-7057
Other practice location 1
8402 Commonwealth Ave
Buena Park, CA 90621-2528
Phone (714) 739-2051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106588 | CA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1073958286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "337 CALLE CANELA",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917734803",
"telephone_number": "310-880-7057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "337 CALLE CANELA",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917734803",
"telephone_number": "310-880-7057"
}
],
"practiceLocations": [
{
"address_1": "8402 Commonwealth Ave",
"address_purpose": "LOCATION",
"city": "Buena Park",
"state": "CA",
"postal_code": "906212528",
"country_code": "US",
"telephone_number": "714-739-2051",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARID",
"first_name": "AHMED",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-01",
"last_updated": "2023-12-13",
"certification_date": "2023-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "106588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Dimas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.