Organization Active NPI

Hooman Fakhrai DMD, Inc

  • General Practice Dentistry
  • Chula Vista, CA
National Provider Identifier
1891207155
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HOOMAN FAKHRAI DMD, INC
Practice address
754 Medical Center CT Ste 201
Chula Vista, CA 91911-6656
Phone
(619) 656-9222
NPI assigned
Oct 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

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

Authorized official

Name
Hooman Fakhrai, DMD
Title
President
Phone
(619) 656-9222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

754 Medical Center CT Ste 201
Chula Vista, CA 91911-6656

Mailing address

3252 Via Alicante
La Jolla, CA 92037-2742
Phone (858) 336-1442

National Provider Directory

National Provider Directory

Locations

754 Medical Center Ct
Ste 201
Chula Vista, CA 91911
Phone (619) 656-9222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508976000000",
    "number": "1891207155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3252 VIA ALICANTE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920372742",
            "telephone_number": "858-336-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 MEDICAL CENTER CT STE 201",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116656",
            "telephone_number": "619-656-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOMAN FAKHRAI DMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2017-10-26",
        "status": "A",
        "authorized_official_last_name": "FAKHRAI",
        "authorized_official_first_name": "HOOMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-656-9222",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.