Fata Inc.

Primary specialty

Medical Art Specialist/TechnologistTaxonomy code 246ZA2600X

License

AC12047 Issued in CA

Legal business name

FATA INC.

Practice address

9773 Sierra Ave
9773 Sierra Ave. #H7
Fontana, CA 92335-6716

Phone

(909) 829-2349

Fax

(909) 829-2349

NPI assigned

Feb 7, 2014

Organization subpart

Yes

Parent organization

FATA INC.As reported in NPPES

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

Authorized official

Name

Mr. Soon Park, D.AC.NPI 1619204120

Title

Manager

Phone

(909) 829-2349

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fata Acupuncture Doing business as

Tax ID family

Fata Inc2 organizations share this tax ID, including this one

Part of

Fata Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fata Acupuncture

  • Acupuncturist
  • Pico Rivera, CA
  • NPI 1932564143
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Fata Inc

  • Acupuncturist
  • Bakersfield, CA
  • NPI 1932439486
  NPPES parent name

Practitioners 2

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

• Soon Park, ACUPUNCTURIST

  • Acupuncturist
  • Fontana, CA
  • NPI 1619204120
  NPD (past) Authorized official
• Shukyeon Lee

  • Massage Therapist
  • Fontana, CA
  • NPI 1003580531
  NPD (past)

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1104240340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9773 SIERRA AVE",
            "address_2": "9773 SIERRA AVE. #H7",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923356716",
            "telephone_number": "909-829-2349",
            "fax_number": "909-829-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9773 SIERRA AVE",
            "address_2": "9773 SIERRA AVE. #H7",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923356716",
            "telephone_number": "909-829-2349",
            "fax_number": "909-829-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATA INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FATA INC.",
        "enumeration_date": "2014-02-07",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "909-829-2349",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.AC."
    },
    "taxonomies": [
        {
            "code": "246ZA2600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Art, Medical",
            "state": "CA",
            "license": "AC12047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE",
            "identifier": "AC12047",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fata Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fargo Dental Corporation
• Bassam W Fargo, DDS
• Catherine Yang Farr
• Taylor Farr
• Kindra Faskell
• Chiraz El Helou Fathy, MA, AMFT
• Cynthia Isabel Faurrieta
• Anita Fears, M.D.
• Jesse Seifu Felema, DDS
• Eva Jimenez Feliciano, M.D.

• Medical Art Specialist/Technologist in Fontana, CA
• Providers in Fontana, CA by specialty
• Medical Art Specialist/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.