Organization Active NPI

Fisher Dental Corp

  • Dentist
  • Simi Valley, CA
National Provider Identifier
1962321950
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
FISHER DENTAL CORP
Practice address
2691 Tapo Canyon Rd Ste C
Simi Valley, CA 93063-6845
Phone
(805) 526-6100
NPI assigned
Jul 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Dr. Yan Fisher, DDS
Title
Ceo
Phone
(818) 645-7594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2691 Tapo Canyon Rd Ste C
Simi Valley, CA 93063-6845

Mailing address

2691 Tapo Canyon Rd Ste C
Simi Valley, CA 93063-6845
Phone (805) 526-6100

National Provider Directory

National Provider Directory

Locations

2691 Tapo Canyon Rd
Ste C
Simi Valley, CA 93063

NPI Registry JSON

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

{
    "created_epoch": "1783900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1962321950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2691 TAPO CANYON RD STE C",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930636845",
            "telephone_number": "805-526-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2691 TAPO CANYON RD STE C",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930636845",
            "telephone_number": "805-526-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHER DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-13",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "YAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-645-7594",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.