Individual provider Active NPI

Faizan Farid, DDS

  • Dentist
  • Los Banos, CA
National Provider Identifier
1386331585
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
108372 Issued in CA
Practice address
725 W I St
Los Banos, CA 93635-3478
Phone
(209) 722-4842
NPI assigned
Apr 19, 2023
Last updated
Apr 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 108372 CA Primary
General Practice Dentistry 1223G0001X 108372 CA

Addresses

Primary practice location

725 W I St
Los Banos, CA 93635-3478

Mailing address

737 W Childs Ave
Merced, CA 95341-6805
Phone (209) 722-4842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230816002248 CA Practitioner - Dentist 2264894609 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
108372CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Family Health CurrentSince Aug 12, 2024 Accepting new patients
Omni Family Health General Practice Current Accepting new patients
Omni Family Health CurrentSince Aug 12, 2024 Accepting new patients
Golden Valley Health Center PastSince Apr 23, 2023 Accepting new patients
Golden Valley Health Centers General Practice PastSince Apr 23, 2023 Accepting new patients

Locations

277 E Front St
Buttonwillow, CA 93206
Phone (661) 630-7381

1110 W Visalia Rd
Ste 102
Exeter, CA 93221

355 Campus Dr
Ste E
Hanford, CA 93230
Phone (559) 584-0668

1530 E Manning Ave
Reedley, CA 93654
Phone (559) 558-9741

925 G St
Reedley, CA 93654
Phone (559) 558-9712

311 W Noble Ave
Visalia, CA 93277
Phone (559) 625-9200

Interoperability endpoints

  • Direct secure messaging: faizan.farid.p1@direct.omnifamilyhealth.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1386331585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 W CHILDS AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416805",
            "telephone_number": "209-722-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 W I ST",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353478",
            "telephone_number": "209-722-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARID",
        "first_name": "FAIZAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108372",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "108372",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Banos, CA

Sources for this page

Verify at the official NPI Registry.