Ghazal Farhang, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

61695 Issued in CA

Practice address

1558 E H St
Suite B
Chula Vista, CA 91913-2018

Phone

(619) 573-3860

NPI assigned

Oct 22, 2012

Sex

Female

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

• Ghazal Farhang Rod 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

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1538412929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13962 CAMINITO CAROLINE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921305633",
            "telephone_number": "619-573-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 E H ST",
            "address_2": "SUITE B",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919132018",
            "telephone_number": "619-573-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARHANG",
        "first_name": "GHAZAL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-22",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GHAZAL",
            "last_name": "FARHANG ROD",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sharlene Janell Buduan Famisan, PMHNP-BC
• Famos Therapies
• Eyob Fantay, RADT
• Elaine Anne Faraon
• Ashley Marie Farha
• Flavia Maingue Farias Da Costa Maingue Garland
• Elsa Argentina Farias-Renteria
• Angelica Elizabeth Farias-Zuniga
• Barbara Cantero Farinas
• Jeffrey Revillosa Farinas

• Dentist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.