Active NPI
Gary Martin Fainbarg, DDS
- General Practice Dentistry
- Santa Ana, CA
National Provider Identifier
1245372945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 19871
- Practice address
- 2441 No Tustin Ave
Ste J
Santa Ana, CA 92705-1661 - Phone
- (714) 953-9952
- Fax
- (714) 953-1790
- NPI assigned
- Feb 12, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 19871 | CA | Primary |
Addresses
Primary practice location
2441 No Tustin Ave
Ste J
Santa Ana, CA 92705-1661
Mailing address
2441 No Tustin Ave
Ste J
Santa Ana, CA 92705-1661
Phone (714) 953-9952
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B1987101 | Other | CA | DENTI CAL |
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 |
|---|---|---|---|
| 19871 | CA | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245372945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2441 NO TUSTIN AVE",
"address_2": "STE J",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927051661",
"telephone_number": "714-953-9952",
"fax_number": "714-953-1790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2441 NO TUSTIN AVE",
"address_2": "STE J",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927051661",
"telephone_number": "714-953-9952",
"fax_number": "714-953-1790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAINBARG",
"first_name": "GARY",
"middle_name": "MARTIN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "19871",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTI CAL",
"identifier": "B1987101",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- 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.