Individual provider Active NPI

Fady Samir Saad Girgis, D.D.S

  • General Practice Dentistry
  • Orinda, CA
National Provider Identifier
1336681576
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
101024 Issued in CA
Practice address
23 Orinda Way Ste 301
Orinda, CA 94563-2520
Phone
(714) 468-6591
NPI assigned
Nov 4, 2016
Last updated
Feb 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 101024 CA
General Practice Dentistry 1223G0001X 101024 CA Primary

Addresses

Primary practice location

23 Orinda Way Ste 301
Orinda, CA 94563-2520

Mailing address

23 Orinda Way Ste 301
Orinda, CA 94563-2520
Phone (714) 468-6591

Other practice location 1

9340 W Stockton Blvd
Elk Grove, CA 95758-8014
Phone (916) 683-5732

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

LicenseStateTypeSpecialty
101024CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1336681576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 ORINDA WAY STE 301",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945632520",
            "telephone_number": "714-468-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 ORINDA WAY STE 301",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945632520",
            "telephone_number": "714-468-6591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9340 W Stockton Blvd",
            "address_purpose": "LOCATION",
            "city": "Elk Grove",
            "state": "CA",
            "postal_code": "957588014",
            "country_code": "US",
            "telephone_number": "916-683-5732",
            "fax_number": "916-683-9807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIRGIS",
        "first_name": "FADY",
        "middle_name": "SAMIR SAAD",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-04",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "101024",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orinda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.