Fariborz Matian, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

40272 Issued in CA

Practice address

19900 Ventura Blvd.,
Suite # 200
Woodland Hills, CA 91364

Phone

(818) 914-7484

Fax

(818) 914-7489

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

Yes

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301616000000",
    "number": "1235287335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19900 VENTURA BLVD",
            "address_2": "SUITE # 200",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642645",
            "telephone_number": "818-914-7484",
            "fax_number": "818-914-7489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19900 VENTURA BLVD.,",
            "address_2": "SUITE # 200",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "91364",
            "telephone_number": "818-914-7484",
            "fax_number": "818-914-7489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIAN",
        "first_name": "FARIBORZ",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2011-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "40272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercy Hema Mathew, M.S., P.P.S
• Samantha Meghann Mathew, BCBA
• Wendi Mathews, AMFT
• Deborah L Mathieu, NP
• Natalia Mathis, LMFT
• Vittorio Matinata, PSY.D., BCBA
• Marc Matossian, DO
• Matthew Bernstein Chiropractic Professional Corporation
• Matthew R Alpert OD
• Emily Lizbeth Matthews, MFT

• Periodontics in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.