Individual provider Active NPI

Farinoush Gaminchi, D.M.D.

  • Periodontics
  • Santa Monica, CA
National Provider Identifier
1811027006
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
41407 Issued in CA
Practice address
2425 Colorado Ave
Suite 210
Santa Monica, CA 90404-3584
Phone
(310) 829-3898
Fax
(310) 829-0443
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 41407 CA Primary

Addresses

Primary practice location

2425 Colorado Ave
Suite 210
Santa Monica, CA 90404-3584

Mailing address

2425 Colorado Ave
Suite 210
Santa Monica, CA 90404-3584
Phone (310) 829-3898

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
I20151013000657 CA Practitioner - Oral Surgery 9931416344 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41407CAMDMarriage & Family Therapist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1811027006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 COLORADO AVE",
            "address_2": "SUITE 210",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043584",
            "telephone_number": "310-829-3898",
            "fax_number": "310-829-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 COLORADO AVE",
            "address_2": "SUITE 210",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043584",
            "telephone_number": "310-829-3898",
            "fax_number": "310-829-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMINCHI",
        "first_name": "FARINOUSH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "41407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.