DR. OMAR M FARIDI (NPI# 1568698843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568698843 |
Entity Type | Individual |
Full Name | DR. OMAR M FARIDI |
Credential | M.D. |
Practice Address |
1200 N State St Ct A3c 117 Los Angeles CA 90033-1029 |
Mailing Address |
947 Crystal Water Ln Walnut CA 91789-1467 |
Practice Telephone | 3234095051 |
Mailing Telephone | 9098393509 |
Enumeration Date | 2009-06-01 |
Last Update Date | 2009-06-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 204E00000X | Oral & Maxillofacial Surgery | A107924 | CA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437358900 | Omar S. Faridi | Ophthalmology | 202 Cherry St, Milford, CT 06460-3502 | 2007-07-16 |
Street Address |
1200 N STATE ST CT A3C 117 |
City | LOS ANGELES |
State | CA |
Zip Code | 90033-1029 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427678010 | Lisa Endo | Respiratory Therapist, Registered | 1200 N State St, Los Angeles, CA 90033-1029 | 2020-04-23 |
1255951356 | Raffi Melikian | Student in an Organized Health Care Education/Training Program | 1200 N State St, Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029 | 2020-04-20 |
1912526369 | Karra Kanaye Manier | Student in an Organized Health Care Education/Training Program | 1200 N State St, Los Angeles, CA 90033-1029 | 2020-04-15 |
1598384943 | David Fowler | Student in an Organized Health Care Education/Training Program | 1200 N State St, Los Angeles, CA 90033-1029 | 2020-04-15 |
1396364782 | Taylor Alexander Docter | Student in an Organized Health Care Education/Training Program | 1200 N State St, Los Angeles, CA 90033-1029 | 2020-04-15 |
1881213452 | Andrea Vijay | Student in an Organized Health Care Education/Training Program | 1200 N State St, Los Angeles, CA 90033-1029 | 2020-04-13 |
1720607914 | Carlo Sibayan | Respiratory Therapist, Registered | 1200 N State St, Los Angeles, CA 90033-1029 | 2020-04-09 |
1912536376 | Huynh Nguyen | Student in an Organized Health Care Education/Training Program | 1200 N State St, Los Angeles, CA 90033-1029 | 2020-04-06 |
1942838305 | Peggy Jill Ebner | Student in an Organized Health Care Education/Training Program | 1200 N State St, Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029 | 2020-03-31 |
1437787793 | Iris Xu | Student in an Organized Health Care Education/Training Program | 1200 N State St, Los Angeles, CA 90033-1029 | 2020-03-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376165050 | Noa Yee | Student in an Organized Health Care Education/Training Program | 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 | 2020-05-15 |
1629690144 | Monica Lopez | Respiratory Therapist, Registered | 1251 Marengo St, Los Angeles, CA 90033 | 2020-05-07 |
1649890401 | Antonio Hernandez Saenz | Student in an Organized Health Care Education/Training Program | 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 | 2020-04-22 |
1417585100 | Kelsey Grace Shea | Student in an Organized Health Care Education/Training Program | 1200 N State St Ird 112, Los Angeles, CA 90033 | 2020-03-30 |
1891322780 | Carolyn Kan | Student in an Organized Health Care Education/Training Program | 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 | 2020-03-23 |
1902445786 | Maury M Hopkins | Registered Nurse | 1883 Marengo Street, Los Angeles, CA 90033 | 2019-12-27 |
1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
1093369399 | Christine Yoon | Pharmacist | 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 | 2019-07-25 |
1073075339 | Johanna Keller | Student in an Organized Health Care Education/Training Program | La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 | 2019-04-04 |
1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
Find all providers in zip 90033 |
Taxonomy Code | 204E00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Oral & Maxillofacial Surgery |
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871810846 | Nam Cho | Oral & Maxillofacial Surgery | 4040 Via Marisol, #220, Los Angeles, CA 90042-5154 | 2010-04-29 |
1679709075 | Steven Kupferman Dmd Md Inc | Oral & Maxillofacial Surgery | 2080 Century Park East Blvd, Suite 710, Los Angeles, CA 90067 | 2009-06-01 |
1851392062 | Rick Chien Chi Tsay | Oral & Maxillofacial Surgery | 10811 Ashton Ave, #308, Los Angeles, CA 90024-4878 | 2005-08-10 |
1780902536 | Soroush Zaghi | Oral & Maxillofacial Surgery | 10921 Wilshire Blvd, Suite 912, Los Angeles, CA 90024-3906 | 2010-05-04 |
1851417737 | Vivek Shetty | Oral & Maxillofacial Surgery | 10833 Le Conte Ave, Suite Ao-156, Los Angeles, CA 90095-1668 | 2007-03-22 |
1588790307 | Richard D Leathers | Oral & Maxillofacial Surgery | 12021 Wilmington Ave, Los Angeles, CA 90059-3019 | 2007-02-26 |
1346359973 | Frederick C Rutherford | Oral & Maxillofacial Surgery | 12021 S. Wilmington Ave, Los Angeles, CA 90059 | 2006-08-29 |
1619084985 | Joseph Mcquirter Sr. | Oral & Maxillofacial Surgery | 12021 S. Wilmington Ave, Los Angeles, CA 90059 | 2006-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457983025 | Olena Norris Dds Dental Corporation | Oral & Maxillofacial Surgery | 5060 California Ave Ste 202, Bakersfield, CA 93309-7087 | 2020-02-11 |
1306498829 | Henry Mayo Newhall Clinics, LLC | Oral & Maxillofacial Surgery | 25751 Mcbean Pkwy Ste 220, Valencia, CA 91355-3701 | 2019-07-15 |
1396211926 | Fremont Oral & Maxillofacial Surgery | Oral & Maxillofacial Surgery | 39210 State St Ste 115, Fremont, CA 94538-1456 | 2018-10-22 |
1013495985 | Ned L. Nix, Dds, Inc | Oral & Maxillofacial Surgery | 704 Blossom Hill Rd Ste 102, San Jose, CA 95123-5403 | 2018-08-02 |
1811475759 | University of California Sfgh Medical Group | Oral & Maxillofacial Surgery | 1001 Potrero Avenue, Bldg 5, Room 1n1, San Francisco, CA 94110-3518 | 2018-08-02 |
1235649690 | Mac Dental Corporation | Oral & Maxillofacial Surgery | 9855 Erma Road, #110, Scripps Periodontics, San Diego, CA 92131 | 2017-10-11 |
1710354162 | Michael J. Belton Dds,md Inc. | Oral & Maxillofacial Surgery | 2045 Compton Ave Ste 102, Corona, CA 92881-7293 | 2015-09-01 |
1508263740 | F.a.c.e. Surgical Center of The Desert | Oral & Maxillofacial Surgery | 1900 E Tahquitz Canyon Way Ste C4, Palm Springs, CA 92262-7062 | 2014-12-03 |
1407114499 | Niloofar Deyhim | Oral & Maxillofacial Surgery | 853 Middlefield Rd Ste 1, Palo Alto, CA 94301-2900 | 2012-04-26 |
1437479144 | Brian Robert Carr | Oral & Maxillofacial Surgery | 521 Parnassus Ave # C-522, San Francisco, CA 94143-0440 | 2010-06-03 |
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City | LOS ANGELES |
Zip Code | 90033 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.