DR. EDWARD FARAJZADEH (NPI# 1700895166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700895166 |
| Entity Type | Individual |
| Full Name | DR. EDWARD FARAJZADEH |
| Credential | DDS |
| Practice Address |
13983 Mango Dr Ste 106 Del Mar CA 92014-3146 |
| Practice Telephone | 8587926662 |
| Practice Fax Number | 8587920536 |
| Mailing Telephone | 8587926662 |
| Mailing Fax Number | 8587920536 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2019-10-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 33031 | CA | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
33031 | CA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12921 Pomerado Rd, Poway, CA 920645325 | 8586794949 |
| Street Address |
13983 MANGO DR STE 106 |
| City | DEL MAR |
| State | CA |
| Zip Code | 92014-3146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952872517 | Edward Farajzadeh, Dds Apdc | Dentist | 13983 Mango Dr Ste 106, Del Mar, CA 92014-3146 | 2018-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245751924 | Stanisai Dental Corporation | Dentist | 2710 Via De La Valle, Suite B250, Del Mar, CA 92014 | 2017-07-03 |
| 1750757886 | Darena Ann Bailey | Psychologist | 13778 Ruette Le Parc, Suite E, Del Mar, CA 92014 | 2015-08-12 |
| 1063754885 | James Anthony Bosch | Marriage & Family Therapist | 2002 Jimmy Durante Blvd Suite 124, Del Mar, CA 92014 | 2013-03-19 |
| 1255682167 | Allcare Behavioral Health | Community/Behavioral Health | 3790 Via Da La Valle, Suite 108e, Del Mar, CA 92014 | 2012-10-02 |
| 1952693467 | William Talbot Bowen | Emergency Medicine | 13734 Boquita Dr., Del Mar, CA 92014 | 2011-05-03 |
| 1821239567 | Kathyrn Engel | Social Worker | 13352 Caminito Carmel, Del Mar, CA 92014 | 2009-03-10 |
| 1356500839 | Hsin-ti S Chang | Dentist | 13760 Portofino Dr Apt A, Del Mar, CA 92014 | 2008-06-09 |
| 1952523177 | Ron Barry Dmd Inc. | Dentist | 13983 Mango Drive, Suite 202, Del Mar, CA 92014 | 2007-05-03 |
| 1225182769 | Kathleen Ann Larson | Social Worker | 1337 Camino Del Mar Ste B, Del Mar, CA 92014 | 2007-01-22 |
| 1144388554 | Charlotte Denise Scott | Chiropractor | 2636 Flower Hill Drive, Del Mar, CA 92014 | 2006-12-05 |
| Find all providers in zip 92014 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366585515 | Hector A. Caballero | Dentist | 13503 Caminito Carmel, Del Mar, CA 92014-3850 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
| 1114533064 | Alexander V. Antipov, D.d.s., Inc. | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678 | 2020-09-16 |
| 1609493170 | Amir Haghshenas Dds | Dentist | 3880 S Bascom Ave Ste 213, San Jose, CA 95124-2675 | 2020-07-01 |
| 1316568900 | Beech & Reid Dental Partnership | Dentist | 464 E Calaveras Blvd Ste B3, Milpitas, CA 95035-5412 | 2020-05-05 |
| 1518506773 | Francisco Suarez, Dds Inc. | Dentist | 4606 Hollywood Blvd Ste A, Los Angeles, CA 90027-5462 | 2020-01-04 |
| 1831748839 | Slate Dental Corporation | Dentist | 6512 Lonetree Blvd Ste 100, Rocklin, CA 95765-5883 | 2019-09-11 |
| 1255980140 | Dr Maloux Macasaet Saguin Dental Corporation | Dentist | 9800 Topanga Canyon Blvd Ste J, Chatsworth, CA 91311-4075 | 2019-09-04 |
| 1891342267 | Amrollahie and Riman Dental Partnership | Dentist | 1442 Irvine Blvd Ste 225, Tustin, CA 92780-3846 | 2019-08-21 |
| 1548821572 | Hoang Dental Corporation | Dentist | 1356 W Valley Pkwy Ste J, Escondido, CA 92029-2138 | 2019-06-20 |
| 1073173860 | Omfs Care Center Partners | Dentist | 215 N Fresno St Ste 490, Fresno, CA 93701-0000 | 2019-06-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. EDWARD FARAJZADEH.
| 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.