Mastour & Fard Dental Corp

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

MASTOUR & FARD DENTAL CORP

Practice address

587 N Ventu Park Rd Ste C
Newbury Park, CA 91320-2743

Phone

(805) 499-1253

NPI assigned

Feb 26, 2019

Organization subpart

No

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

Authorized official

Name

Arash Sabbagh Fard

Title

Owner

Phone

(805) 499-1253

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551139200000",
    "number": "1750848776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 N VENTU PARK RD STE C",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913202743",
            "telephone_number": "805-499-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 N VENTU PARK RD STE C",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913202743",
            "telephone_number": "805-499-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTOUR & FARD DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-26",
        "status": "A",
        "authorized_official_last_name": "SABBAGH FARD",
        "authorized_official_first_name": "ARASH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-499-1253"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Rose Markiewicz, DDS
• Jessica Diane Marks
• Richard Markus, MD
• Yicel Jaurequi Martinez
• Mary Health of the Sick Convalescent and Nursing Hospital Incorporated
• Lynn Matsunaga
• Monica Mayer
• Suzanne Kathleen McCann, LVN
• Robin S. McEwan, D.D.S., M.S.
• Jaymin McJimpson, MS, RD, CSSD

• Oral and Maxillofacial Surgery Clinic/Center in Newbury Park, CA
• Providers in Newbury Park, CA by specialty
• Oral and Maxillofacial Surgery Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.