Luis Armando Favela Cardona

Primary specialty

DentistTaxonomy code 122300000X

License

109646 Issued in CA

Practice address

150 N State College Blvd
Anaheim, CA 92806-2909

Phone

(714) 491-8441

NPI assigned

Nov 14, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1689448136",
    "addresses": [
        {
            "country_code": "MX",
            "country_name": "Mexico",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "BOULEVARD DE LAS ROSAS 181",
            "city": "DURANGO",
            "state": "DURANGO",
            "postal_code": "34200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N STATE COLLEGE BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928062909",
            "telephone_number": "714-491-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVELA CARDONA",
        "first_name": "LUIS",
        "middle_name": "ARMANDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "109646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Farrell
• Elaheh Ellie Farshidi, MD
• Mohammad Umar Farukhi, M.D.
• Jessica Fasold, B.A.
• Ali Fatigh
• Chloe Favors
• Lindsay Fawcett
• Amin R Fawwaz, MD
• Sheldon Fayner, MD
• Mohammad H. Faysal, MD

• Dentist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.