Farhad Manavi, D.D.S., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38558 Issued in CA

Legal business name

FARHAD MANAVI, D.D.S., INC.

Practice address

4149 Tweedy Blvd Ste G
South Gate, CA 90280-6167

Phone

(323) 567-3333

Fax

(323) 567-2929

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Farhad Manavi, DDS

Title

Owner

Phone

(323) 567-3333

Specialties & licenses 1

Addresses

Other names 1

• WEST COAST DENTAL GROUP OF SOUTH GATE Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frank Jesus Alvaro, DENTAL ASSISSTANT

  • Dental Assistant
  • South Gate, CA
  • NPI 1275837528
  NPD (past)
• Hector Gil Jr.

  • Dental Assistant
  • South Gate, CA
  • NPI 1053619304
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1962625418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4149 TWEEDY BLVD STE G",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902806167",
            "telephone_number": "323-567-3333",
            "fax_number": "323-567-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4149 TWEEDY BLVD STE G",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902806167",
            "telephone_number": "323-567-3333",
            "fax_number": "323-567-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARHAD MANAVI, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "MANAVI",
        "authorized_official_first_name": "FARHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-567-3333",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST COAST DENTAL GROUP OF SOUTH GATE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Francisco Joseph Escobedo II, MD
• Julio Cesar Escobedo, RDA
• Susana Espinoza
• Cecilia Estrada, 776006066
• Ijeoma H Ezemonye, NP
• Petee Farrow
• Farzad Mazloomi DMD Inc.
• Sylvia Mary Guirguis Felobous, MD
• Ronnie Anthony Fematt
• Maria Esther Fernandez, PA-C

• General Practice Dentistry in South Gate, CA
• Providers in South Gate, 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 Jun 27, 2022; 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.