Individual provider Active NPI

Fariba Hemat, DDS

  • Dentist
  • Garden Grove, CA
National Provider Identifier
1346486107
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50755 Issued in CA
Practice address
12441 Magnolia St Ste E
Garden Grove, CA 92841-3300
Phone
(714) 539-9939
Fax
(714) 539-9720
NPI assigned
Dec 29, 2008
Last updated
Dec 29, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 50755 CA Primary

Addresses

Primary practice location

12441 Magnolia St Ste E
Garden Grove, CA 92841-3300

Mailing address

12441 Magnolia St Ste E
Garden Grove, CA 92841-3300
Phone (714) 539-9939

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
50755CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230508800000",
    "number": "1346486107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12441 MAGNOLIA ST STE E",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928413300",
            "telephone_number": "714-539-9939",
            "fax_number": "714-539-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12441 MAGNOLIA ST STE E",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928413300",
            "telephone_number": "714-539-9939",
            "fax_number": "714-539-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMAT",
        "first_name": "FARIBA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-29",
        "last_updated": "2008-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "50755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.