Organization Active NPI

Frooz Fatoorachi,DDS,Apc

Doing business as Access Children's Dental Group

  • Pediatric Dentistry
  • Vista, CA
National Provider Identifier
1477966067
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
41405 Issued in CA
Legal business name
FROOZ FATOORACHI,DDS,APC
Doing business as
Access Children's Dental Group
Practice address
1944 Via Ctr
Vista, CA 92081-6056
Phone
(760) 732-3100
NPI assigned
Jun 11, 2014
Organization subpart
Yes
Parent organization
33-778296As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Authorized official

Name
Ms. Alejandra Huitron
Title
Office Manager
Phone
(760) 732-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 41405 CA Primary

Addresses

Primary practice location

1944 Via Ctr
Vista, CA 92081-6056

Mailing address

1944 Via Ctr
Vista, CA 92081-6056
Phone (760) 732-3100

Other identifiers 3

IdentifierTypeStateIssuer
1912051418MedicaidCA
G92986OtherCAMEDICAL
1427102094OtherCAPROVIDER NPI

Other names 1

  • Access Children's Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Frooz Fatoorachiddsapc2 organizations share this tax ID, including this one
Part of
Frooz Fatoorachiddsapc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1944 Via Ctr
Vista, CA 92081
Phone (760) 732-3100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1477966067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1944 VIA CTR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816056",
            "telephone_number": "760-732-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1944 VIA CTR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816056",
            "telephone_number": "760-732-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FROOZ FATOORACHI,DDS,APC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "33-778296",
        "enumeration_date": "2014-06-11",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "HUITRON",
        "authorized_official_first_name": "ALEJANDRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "760-732-3100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "41405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912051418",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "G92986",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1427102094",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Access Children's Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Access Children's Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.