Individual provider Active NPI

Farshad Saghatchi, D.D.S.

  • Dentist
  • Costa Mesa, CA
National Provider Identifier
1407912082
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
45970 Issued in CA
Practice address
1835 Newport Blvd Ste E267
Costa Mesa, CA 92627-5013
Phone
(949) 574-0100
Fax
(949) 574-0101
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 45970 CA Primary

Addresses

Primary practice location

1835 Newport Blvd Ste E267
Costa Mesa, CA 92627-5013

Mailing address

1835 Newport Blvd Ste E267
Costa Mesa, CA 92627-5013
Phone (949) 574-0100

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1407912082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 NEWPORT BLVD STE E267",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926275013",
            "telephone_number": "949-574-0100",
            "fax_number": "949-574-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 NEWPORT BLVD STE E267",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926275013",
            "telephone_number": "949-574-0100",
            "fax_number": "949-574-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGHATCHI",
        "first_name": "FARSHAD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "45970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; 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.