Active NPI
Hooman Fakhrai DMD, Inc
- General Practice Dentistry
- Chula Vista, CA
National Provider Identifier
1891207155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Chula Vista, CA
- NPI 1386758662
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.