Individual provider Active NPI

Farangis Partovi, DDS

  • Periodontics
  • Rancho Palos Verdes, CA
National Provider Identifier
1821181843
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
46209 Issued in CA
Practice address
6914 Los Verdes Dr Apt 1
Rancho Palos Verdes, CA 90275-5643
Phone
(310) 422-9049
NPI assigned
Oct 2, 2006
Last updated
Nov 19, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 46209 CA Primary

Addresses

Primary practice location

6914 Los Verdes Dr Apt 1
Rancho Palos Verdes, CA 90275-5643

Mailing address

6914 Los Verdes Dr Apt 1
Rancho Palos Verdes, CA 90275-5643
Phone (310) 422-9049

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
I20160212001939 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3072664531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46209CAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Farangis Partovi DDS, Incorporated Periodontics Current Accepting new patients
Fulbright Dental Group, PC PastSince Dec 19, 2015 Accepting new patients
Alex Gladkov, DDS Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1821181843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6914 LOS VERDES DR APT 1",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902755643",
            "telephone_number": "310-422-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6914 LOS VERDES DR APT 1",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902755643",
            "telephone_number": "310-422-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARTOVI",
        "first_name": "FARANGIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "46209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Palos Verdes, CA

Sources for this page

Verify at the official NPI Registry.