Fadi Qayssar Sulioa Khoshnaw, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

111636 Issued in CA

Practice address

11635 South St
Artesia, CA 90701-6628

Phone

(562) 924-4401

NPI assigned

Dec 16, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1671148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1699487017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W LINCOLN AVE UNIT 272",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015570",
            "telephone_number": "559-283-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11635 SOUTH ST",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907016628",
            "telephone_number": "562-924-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULIOA KHOSHNAW",
        "first_name": "FADI QAYSSAR",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "111636",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley Stutz
• Ming Hwa Su
• Wade Su, D.M.D
• Alexis Ruby Suayan, COTA/L
• Frank Brian Sue, O.D.
• Sun Young Oh
• Wonsik Sung, D.C.
• Susan H Ham
• Shakeel Yahiya Syed
• Onneka Taitano

• General Practice Dentistry in Artesia, CA
• Providers in Artesia, 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 Jun 16, 2025; 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.