Liza Fartash, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43950 Issued in CA

Practice address

899 Sir Francis Drake Blvd
San Anselmo, CA 94960-1916

Phone

(415) 482-9808

NPI assigned

Apr 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144341769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1582 NUTHATCH LN",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940874938",
            "telephone_number": "415-342-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 SIR FRANCIS DRAKE BLVD",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949601916",
            "telephone_number": "415-482-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARTASH",
        "first_name": "LIZA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucrecia Gloria Espejo, DDS
• Kristy Lauren Ewert, PT
• Susan Ezra, RN
• Bruce Arlen Fabric, MD
• Carol Elizabeth Fabric, MFT
• Grant Finn
• Grace Fisher, MFT
• Natalie Forsythe, AMFT
• Angela M Franco Gomez
• Lassa J Frank, O.D.

• General Practice Dentistry in San Anselmo, CA
• Providers in San Anselmo, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.