Individual provider Active NPI

Farzad Foroutan

  • Dentist
  • Buena Park, CA
National Provider Identifier
1518138338
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
44476 Issued in CA
Practice address
8951 Knott Ave
Suite #L
Buena Park, CA 90620-4108
Phone
(714) 826-4181
Fax
(714) 826-4488
NPI assigned
Mar 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 44476 CA Primary

Addresses

Primary practice location

8951 Knott Ave
Suite #L
Buena Park, CA 90620-4108

Mailing address

8951 Knott Ave
Suite #L
Buena Park, CA 90620-4108
Phone (714) 826-4181

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foroutan Dental Corp Dentist Current Accepting new patients
F.Foroutan DDS Inc. Dentist Current Accepting new patients
Sony Dao DDS. Inc, Dba Oc Smile Co. PastSince Jul 28, 2024 Accepting new patients

Locations

8951 Knott Ave
Ste L
Buena Park, CA 90620
Phone (714) 826-4181

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1518138338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8951 KNOTT AVE",
            "address_2": "SUITE #L",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204108",
            "telephone_number": "714-826-4181",
            "fax_number": "714-826-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8951 KNOTT AVE",
            "address_2": "SUITE #L",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204108",
            "telephone_number": "714-826-4181",
            "fax_number": "714-826-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOROUTAN",
        "first_name": "FARZAD",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "44476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.