MASTOUR & FARD DENTAL CORP (NPI# 1750848776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750848776 |
| Entity Type | Organization |
| Organization Name | MASTOUR & FARD DENTAL CORP |
| Practice Address |
587 N Ventu Park Rd Ste C Newbury Park CA 91320-2743 |
| Practice Telephone | 8054991253 |
| Mailing Telephone | 8054991253 |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2019-02-26 |
| Authorized Official Name | ARASH SABBAGH FARD (OWNER) |
| Authorized Official Telephone | 8054991253 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548730450 | Mastour & Fard Dental Corp | Preferred Provider Organization | 587 N. Ventu Park Road., Suite C, Newberry Park, CA 91320 | 2018-12-04 |
| Street Address |
587 N VENTU PARK RD STE C |
| City | NEWBURY PARK |
| State | CA |
| Zip Code | 91320-2743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821487075 | Community Dental Group | Clinic/Center | 587 N Ventu Park Rd Ste C, Newbury Park, CA 91320-2743 | 2015-01-12 |
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|---|---|---|---|---|
| 1235691452 | Velvet Hearts Professional Home Care Agency LLC | Chore Provider | 409 Calle Veracruz, Newbury Park, CA 91320 | 2019-04-05 |
| 1235603325 | Jefix LLC | Durable Medical Equipment & Medical Supplies | 1351 Alessandor Drive, Newberry Park, CA 91320 | 2019-01-11 |
| 1972074987 | Ayreen Sonbol | Non-emergency Medical Transport (VAN) | 79 N Madrid Ave, Newbury Park, CA 91320 | 2018-12-17 |
| 1548730450 | Mastour & Fard Dental Corp | Preferred Provider Organization | 587 N. Ventu Park Road., Suite C, Newberry Park, CA 91320 | 2018-12-04 |
| 1750874996 | Lady Mary Lhaine Escoto Sagun | Registered Nurse | 1550 Pachino Circle Apt G, Thousand Oaks, CA 91320 | 2018-06-12 |
| 1528410784 | Cristina Rose Markiewicz | Dentist | 400 S. Reino Road, Suite 100, Newbury Park, CA 91320 | 2016-07-12 |
| 1639559552 | Joshua Tree Healthcare, Inc. | Home Health | 2545 W Hillcrest Dr Ste 130a, Thousand Oaks, CA 91320 | 2015-06-05 |
| 1841679651 | Vesper Healthcare, Inc. | Hospice Care, Community Based | 2545 W Hillcrest Dr Ste 130, Thousand Oaks, CA 91320 | 2015-05-26 |
| 1376952580 | Lori Diamond | Pharmacist | 512 Ventu Park Rd, Thousand Oaks, CA 91320 | 2014-08-13 |
| 1275942807 | J J Abbott Dds, PC | Dentist | 501-i S. Reino Rd #214, Newbury Park, CA 91320 | 2014-08-07 |
| Find all providers in zip 91320 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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 |
|---|---|---|---|---|
| 1255931408 | Joseph A. Geleris | Clinic/Center | 132 N Vermont Ave, Glendora, CA 91741-5315 | 2020-10-27 |
| 1619524428 | Eliza Berris Dds, Inc. | Clinic/Center | 19851 Yorba Linda Blvd Ste 201-202, Yorba Linda, CA 92886-2864 | 2019-08-26 |
| 1497309306 | Acevedo Dental Corp | Clinic/Center | 1857 E 4th St, Ontario, CA 91764-2601 | 2019-07-29 |
| 1457911992 | Salina Mahgerefteh Dds Inc | Clinic/Center | 853 Warner Ave, Los Angeles, CA 90024-3327 | 2019-06-17 |
| 1588121248 | Trinh Thi Bui D.d.s.a Dental Corporation | Clinic/Center | 18510 Gridley Rd, Artesia, CA 90701 | 2019-02-28 |
| 1073082079 | Ucsf Dental Oncology | Clinic/Center | 513 Parnassus Avenue, Room S741, San Francisco, CA 94143-2205 | 2018-11-19 |
| 1033696406 | Daniel E Niemann Dds Dental Corporation | Clinic/Center | 2050 Huntington Dr Ste B, South Pasadena, CA 91030-4900 | 2018-07-27 |
| 1104318013 | Louis Gallia Md Medical Corp | Clinic/Center | 87 Scripps Dr #112, Sacramento, CA 95825 | 2018-06-06 |
| 1134624638 | Diem Cao Dds Inc | Clinic/Center | 8813 Alondra Blvd, Paramount, CA 90723-4603 | 2018-03-27 |
| 1013305689 | Mason Y. Lee, Dds, A Professional Corp | Clinic/Center | 750 Las Gallinas Ave Ste 207, San Rafael, CA 94903-3432 | 2015-01-05 |
| Find all providers with the same taxonomy | ||||
| City | NEWBURY PARK |
| Zip Code | 91320 |
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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.