Farwest Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FARWEST DENTAL GROUP

Practice address

1704 N Avalon Blvd
Wilmington, CA 90744

Phone

(310) 835-5130

Fax

(310) 835-6090

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Hassan M Fayoumi, DDS

Title

Partner

Phone

(310) 835-5130

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1891910394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 N AVALON BLVD",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "90744",
            "telephone_number": "310-835-5130",
            "fax_number": "310-835-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 N AVALON BLVD",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "90744",
            "telephone_number": "310-835-5130",
            "fax_number": "310-835-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARWEST DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "FAYOUMI",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "310-835-5130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Ellard
• Emilie Endow, OD
• Elma Estrada
• Farjam Shadaiee Yashmerani, DDS Inc.
• Farwest Dental Group
• Farwest Dental Group, PC
• Miguel Andres Fernandez
• Gabriela Figueroa
• Yolanda Kay Finley
• Brianna Reyes Flores, PA-C

• General Practice Dentistry in Wilmington, CA
• Providers in Wilmington, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.