Active NPI
Neda Fathi, DDS
- Dentist
- Toluca Lake, CA
National Provider Identifier
1649421496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 37416
- Practice address
- 10116 Riverside Dr
Suite 301
Toluca Lake, CA 91602-2563 - Phone
- (818) 766-6126
- Fax
- (818) 766-0730
- NPI assigned
- Oct 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 37416 | CA | Primary |
Addresses
Primary practice location
10116 Riverside Dr
Suite 301
Toluca Lake, CA 91602-2563
Mailing address
10116 Riverside Dr
Suite 301
Toluca Lake, CA 91602-2563
Phone (818) 766-6126
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321228800000",
"number": "1649421496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10116 RIVERSIDE DR",
"address_2": "SUITE 301",
"city": "TOLUCA LAKE",
"state": "CA",
"postal_code": "916022563",
"telephone_number": "818-766-6126",
"fax_number": "818-766-0730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10116 RIVERSIDE DR",
"address_2": "SUITE 301",
"city": "TOLUCA LAKE",
"state": "CA",
"postal_code": "916022563",
"telephone_number": "818-766-6126",
"fax_number": "818-766-0730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FATHI",
"first_name": "NEDA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-09",
"last_updated": "2011-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "37416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toluca Lake, CA
- Endocrine Specialty Consultant Inc (Endocrine Specialty Consultants Inc)
- Essare, Inc. (Visiting Angels of Hollywood Hills/Woodland Hills)
- Esteban D. Bonilla DDS Professional Corporation (Cosmetic Implant Gold Dental Center)
- Wiyatta Fahnbulleh, PSYD
- Farnoosh Tabesh DDS Inc
- Erin Hannah Fein
- James William Formaker, D.D.S.
- Laura Beth Geissert, MA, CCC-SLP
- Jonathan Gelber, M.D.
- Gente Health Partners LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.