Farkad Khalok Alazzawi

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

103428 Issued in CA

Practice address

4744 Moorpark Way
Sacramento, CA 95842-3147

Phone

(916) 380-3866

NPI assigned

Dec 17, 2018

Last updated

Dec 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1558833434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4744 MOORPARK WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958423147",
            "telephone_number": "916-380-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4744 MOORPARK WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958423147",
            "telephone_number": "916-380-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAZZAWI",
        "first_name": "FARKAD",
        "middle_name": "KHALOK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F4746270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leilani Alanis
• Jonathan David Alaniz
• Alars Home Health, LLC
• Layla Alasadi
• Ranya Alayoobi
• Lana Alazzawi
• Beatriz Alba
• Majica Sonrisa Alba, M.A., LMFT
• Jessica Albadawi, PHARMD
• Samer Albadawi, DMD

• General Practice Dentistry in Sacramento, CA
• Providers in Sacramento, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.