Simiade Fabiyi, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

64935 Issued in CA

Practice address

441 Diaz Ave
Delano, CA 93215-4121

Phone

(661) 725-3882

Fax

(661) 721-2486

NPI assigned

Aug 10, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clinica Sierra Vista

  • Federally Qualified Health Center (FQHC)
  • Delano, CA
  • NPI 1134318959
  NPD (past)

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1952787285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 DIAZ AVE",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932154121",
            "telephone_number": "661-725-3882",
            "fax_number": "661-721-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 DIAZ AVE",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932154121",
            "telephone_number": "661-725-3882",
            "fax_number": "661-721-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABIYI",
        "first_name": "SIMIADE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Elms, D.D.S.
• Leslie Espino
• Hildalisa Esquivias, LCSW
• Nira Imelda Estrada
• April Michelle Etheridge
• Jason M. Faghih, DMD
• Family Healthcare Network
• Alana Fernandez
• Gabryela O Fernandez, RN
• Fil-Am Mobile Radiology

• General Practice Dentistry in Delano, CA
• Providers in Delano, 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 Sep 10, 2015; 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.