Individual provider Active NPI

Marufa Farooque Lala

  • General Practice Dentistry
  • Northridge, CA
National Provider Identifier
1790276616
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS102451 Issued in CA
Practice address
11568 Viking Ave
Northridge, CA 91326-1815
Phone
(248) 880-7352
NPI assigned
May 25, 2018
Last updated
Apr 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DDS102451 CA Primary

Addresses

Primary practice location

11568 Viking Ave
Northridge, CA 91326-1815

Mailing address

20500 W Shelley LN
Northridge, CA 91326-4965
Phone (248) 880-7352

Other names 1

  • Marufa Farooque Lala Professional name

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

State licenses

LicenseStateTypeSpecialty
DDS102451CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1790276616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20500 W SHELLEY LN",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913264965",
            "telephone_number": "248-880-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11568 VIKING AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913261815",
            "telephone_number": "248-880-7352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALA",
        "first_name": "MARUFA",
        "middle_name": "FAROOQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS102451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARUFA",
            "last_name": "LALA",
            "middle_name": "FAROOQUE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.