Reza Fouladi, D.D.S, M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

55172 Issued in CA

Practice address

7551 Timberlake Way Ste 120
Sacramento, CA 95823-5421

Phone

(949) 727-7000

Fax

(949) 727-3924

NPI assigned

Dec 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1962561340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7551 TIMBERLAKE WAY STE 120",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235421",
            "telephone_number": "949-727-7000",
            "fax_number": "949-727-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7551 TIMBERLAKE WAY STE 120",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235421",
            "telephone_number": "949-727-7000",
            "fax_number": "949-727-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOULADI",
        "first_name": "REZA",
        "credential": "D.D.S, M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "A126291",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "55172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darrel Wayne Foth, BSP
• Messina Fotinos
• Fouladi Professional Dental Corp.
• Fouladi Professional Dental Corp.
• Fouladi Professional Dental Corp.
• Jeffrey Steven Fountain, D.O.
• Four Wheels for Tranportation LLC
• Darcy Marie Fournier, CMT
• Sarah Kristen Fournier
• Soraya Foutouhi, MS, PHD, MD

• Oral and Maxillofacial Surgery (Dentist) in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.