Active NPI
Nava Fathi, DDS
- Endodontics
- San Jose, CA
National Provider Identifier
1902027410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 43004
- Practice address
- 2581 Samaritan Dr., Suite 110
San Jose, CA 95124 - Phone
- (408) 358-8777
- Fax
- (408) 358-3377
- NPI assigned
- May 1, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 43004 | CA | Primary |
Addresses
Primary practice location
2581 Samaritan Dr., Suite 110
San Jose, CA 95124
Mailing address
2581 Samaritan Dr., Suite 110
San Jose, CA 95124
Phone (408) 358-8777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43004 | CA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902027410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2581 SAMARITAN DR., SUITE 110",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95124",
"telephone_number": "408-358-8777",
"fax_number": "408-358-3377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2581 SAMARITAN DR., SUITE 110",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95124",
"telephone_number": "408-358-8777",
"fax_number": "408-358-3377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FATHI",
"first_name": "NAVA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "43004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.