Individual provider Active NPI

Anahita Akbari Farahani

  • Dentist
  • Temecula, CA
National Provider Identifier
1750817177
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
101304 Issued in CA
Practice address
39209 Wichester Rd, Ste 100
Temecula, CA 92563
Phone
(952) 304-1348
NPI assigned
May 4, 2017
Last updated
May 4, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 101304 CA Primary

Addresses

Primary practice location

39209 Wichester Rd, Ste 100
Temecula, CA 92563

Mailing address

26011 Mission Rd
Loma Linda, CA 92354-6506
Phone (703) 400-6289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180619003601 CA Order and Referring Only - DentistPractitioner - Dentist 8022363837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101304CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1750817177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26011 MISSION RD",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923546506",
            "telephone_number": "703-400-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39209 WICHESTER RD, STE 100",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92563",
            "telephone_number": "952-304-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKBARI FARAHANI",
        "first_name": "ANAHITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-04",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "101304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.