Active NPI
Farshad Seyedein
- Endodontics
- Yorba Linda, CA
National Provider Identifier
1982964797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DDS61176
- Practice address
- 5504 Paseo Gilberto
Yorba Linda, CA 92886-5705 - Phone
- (714) 767-1353
- NPI assigned
- May 25, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DDS61176 | CA | Primary |
Addresses
Primary practice location
5504 Paseo Gilberto
Yorba Linda, CA 92886-5705
Mailing address
5504 Paseo Gilberto
Yorba Linda, CA 92886-5705
Phone (714) 767-1353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150729008857 | CA | Order and Referring Only - Dentist | 6709190101 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS61176 | CA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407369600000",
"number": "1982964797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5504 PASEO GILBERTO",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928865705",
"telephone_number": "714-767-1353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5504 PASEO GILBERTO",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928865705",
"telephone_number": "714-767-1353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEYEDEIN",
"first_name": "FARSHAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-25",
"last_updated": "2014-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "DDS61176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yorba Linda, CA
- Seals on Wheels
- Ed Segawa, M.A., LMFT
- Sepanta Senemar, NP
- Senior Living Community an Eastern Star Home
- Seth Bernstein, O.D. & Lisa Benham, O.D., Inc
- Joy Lynette Shabandar, PHD, LPCC
- Shaevitz Chiropractic Corperation
- Kevin Lawrence Shaevitz, CHIROPRACTOR DC
- Shafa Psychiatric & Consulting Center Apc
- Chellie Kingsley Shaffer, PSYD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.