Castaneda Fassioli Dental Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

101094 Issued in CA

Legal business name

CASTANEDA FASSIOLI DENTAL CORP

Practice address

22706 Aspan St Ste 602
Lake Forest, CA 92630-1603

Phone

(949) 716-7000

Fax

(949) 716-0600

NPI assigned

Dec 7, 2017

Organization subpart

No

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

Authorized official

Name

Carolyn Elizabeth Castaneda Fassioli, DDSNPI 1023553245

Title

Ceo

Phone

(949) 716-7000

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carolyn Elizabeth Castaneda Fassioli

  • General Practice Dentistry
  • Lake Forest, CA
  • NPI 1023553245
  NPD Authorized official
• Arezou Goshtasbi, D.D.S.

  • General Practice Dentistry
  • Lake Forest, CA
  • NPI 1073832705
  NPD (past)
• Kathy Maasoumi, D.D.S.

  • Dentist
  • Lake Forest, CA
  • NPI 1407998941
  NPD (past)

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1598270993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22706 ASPAN ST STE 602",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301603",
            "telephone_number": "949-716-7000",
            "fax_number": "949-716-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22706 ASPAN ST STE 602",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301603",
            "telephone_number": "949-716-7000",
            "fax_number": "949-716-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTANEDA FASSIOLI DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "CASTANEDA FASSIOLI",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-716-7000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "101094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casa Pacifica (Freedom Village)
• Seth Casanova
• Cascade Trade LLC (Bangeran)
• Kassie Case
• Shannon Cashin
• Carolyn Elizabeth Castaneda Fassioli
• Ashley Castanon
• Jacob Castersen, PT, DPT
• Lauren Causey
• Giselle Cedillos

• Dental Clinic/Center in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.