Individual provider Active NPI

Fariba Forouzan

  • Dentist
  • Chico, CA
National Provider Identifier
1952556607
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
57826 Issued in CA
Practice address
2471 Cohasset Rd
Ste 170
Chico, CA 95926-1315
Phone
(530) 897-9040
NPI assigned
Nov 21, 2008
Last updated
Nov 21, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 57826 CA Primary

Addresses

Primary practice location

2471 Cohasset Rd
Ste 170
Chico, CA 95926-1315

Mailing address

2471 Cohasset Rd
Ste 170
Chico, CA 95926-1315
Phone (530) 897-9040

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western Dental Services, Inc. Dentist Past Accepting new patients

Organizations & group practices 1

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": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227225600000",
    "number": "1952556607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2471 COHASSET RD",
            "address_2": "STE 170",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261315",
            "telephone_number": "530-897-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2471 COHASSET RD",
            "address_2": "STE 170",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261315",
            "telephone_number": "530-897-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOROUZAN",
        "first_name": "FARIBA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-21",
        "last_updated": "2008-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "57826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.