Individual provider Active NPI

Fariborz Farsio, DDS

  • Endodontics
  • Santa Ana, CA
National Provider Identifier
1518066422
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
46057 Issued in CA
Practice address
31 E Macarthur Cres
Suite 109
Santa Ana, CA 92707-5932
Phone
(714) 549-1248
Fax
(714) 549-1246
NPI assigned
Sep 21, 2006
Last updated
Mar 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 46057 CA Primary

Addresses

Primary practice location

31 E Macarthur Cres
Suite 109
Santa Ana, CA 92707-5932

Mailing address

18800 Main St
Ste 209
Huntington Beach, CA 92648-1718
Phone (714) 847-3513

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
I20160407001074 CA Order and Referring Only - DentistPractitioner - Oral SurgeryPractitioner - Dentist 7315245339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46507CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Farsio, Amini D.D.S. Inc. Endodontics PastSince May 24, 2020 Accepting new patients
Farsio D.D.S, Inc Endodontics Past Accepting new patients

Organizations & group practices 2

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1518066422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18800 MAIN ST",
            "address_2": "STE 209",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481718",
            "telephone_number": "714-847-3513",
            "fax_number": "714-375-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 E MACARTHUR CRES",
            "address_2": "SUITE 109",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927075932",
            "telephone_number": "714-549-1248",
            "fax_number": "714-549-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARSIO",
        "first_name": "FARIBORZ",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "46057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.