Matt G Farzin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

53595 Issued in CA

Practice address

2969 Harbor Blvd
Costa Mesa, CA 92626-3912

Phone

(714) 437-1100

Fax

(714) 437-1107

NPI assigned

Feb 6, 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

Other names 1

• Matt G Farzin Other name

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Matt G. Farzin DDS, Inc

  • General Practice Dentistry
  • Costa Mesa, CA
  • NPI 1487913471
  Medicare reassignment Authorized official
• Yazdani & Nadir DDS Inc

  • Dentist
  • Laguna Niguel, CA
  • NPI 1972992618
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1386783108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2969 HARBOR BLVD STE E",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263912",
            "telephone_number": "714-437-1100",
            "fax_number": "714-437-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2969 HARBOR BLVD",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263912",
            "telephone_number": "714-437-1100",
            "fax_number": "714-437-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARZIN",
        "first_name": "MATT",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATT",
            "last_name": "FARZIN",
            "middle_name": "G",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christopher William Faris, LMFT# 77127
• Jennifer Love Farrell, M.D.
• Jonathan Farris
• Baharak Farzanmehr, LCSW
• Farzin Mehrdad D.D.S. Inc
• Mitra M Fatourechi-Alsharif, M.D.
• Stacey Faustinos
• Desiree Adrianne Fehmie
• Karina Marie Feichtmann
• Amanda Feigin

• General Practice Dentistry in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.