ARDAVAN FATEH DDS, INC. (NPI# 1912376278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912376278 |
| Entity Type | Organization |
| Organization Name | ARDAVAN FATEH DDS, INC. |
| Practice Address |
2355 Ocean Ave San Francisco CA 94127-2600 |
| Practice Telephone | 4153331173 |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |
| Authorized Official Name | ARDAVAN FATEH (CEO) |
| Authorized Official Telephone | 3107217173 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
60303 | CA | Dental Providers |
| Street Address |
2355 OCEAN AVE |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94127-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760761662 | Stephany M Tran | Dentist | 2355 Ocean Ave, San Francisco, CA 94127-2600 | 2011-08-09 |
| 1053630780 | Ardavan Fateh | Dentist | 2355 Ocean Ave, San Francisco, CA 94127-2600 | 2010-05-20 |
| 1750435533 | Louise Stephens | Dentist | 2355 Ocean Ave, San Francisco, CA 94127-2600 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205311834 | Timothy Tang | Dentist | 1450 Monterey Boulevard, San Francisco, CA 94127 | 2018-09-28 |
| 1851897458 | Jason Jihwan Lim | Dentist | 26 W Portal Ave Ste 4, San Francisco, CA 94127 | 2018-04-03 |
| 1871003152 | Jacob Lee | Technician, Other | 12 Keystone Way, San Francisco, CA 94127 | 2017-10-02 |
| 1972032514 | Brian Ong | Pharmacist | 701 Portola Drive, San Francisco, CA 94127 | 2017-06-07 |
| 1316357411 | Roger Stephen Ellis | Emergency Medicine | 301 Edgehill Way, San Francisco, CA 94127 | 2014-04-29 |
| 1801227145 | Terrence Lee | Dentist | 2335 Ocean Ave, San Francisco, CA 94127 | 2013-12-12 |
| 1801222021 | Hayley Rose Winn | Behavioral Analyst | 2265 Ocean Ave., San Francisco, CA 94127 | 2013-09-19 |
| 1487959771 | Leah C Wood | Counselor | 36a Monterey Blvd, San Francisco, CA 94127 | 2011-01-18 |
| 1720288871 | Gloria M. Gold | Social Worker | 146 Granville Way, San Francisco, CA 94127 | 2007-07-18 |
| 1174749451 | Linda L Lee | Dentist | 2411 Ocean Ave, Suite 203, San Francisco, CA 94127 | 2007-04-17 |
| Find all providers in zip 94127 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508359902 | L Swayamprakasam Dds Corp | Dentist | 1550 Lombard St, San Francisco, CA 94123-3154 | 2018-06-11 |
| 1720427651 | Nicole Olivares | Dentist | 450 Sutter St Rm 1314, San Francisco, CA 94108-4002 | 2013-06-25 |
| 1578827226 | Jeff Takai | Dentist | 882 Presidio Ave, San Francisco, CA 94115-2921 | 2012-06-27 |
| 1356624175 | Sohyun Park | Dentist | 450 Sutter St Rm 2400, San Francisco, CA 94108-4203 | 2011-09-28 |
| 1114218153 | Joyce Yi-tzy Cheng | Dentist | 1356 3rd Ave, San Francisco, CA 94122-2719 | 2011-04-25 |
| 1376832337 | John Bigelow Hartman | Dentist | 685 Commercial St, San Francisco, CA 94111-2503 | 2011-03-30 |
| 1962720433 | Christina Gasper | Dentist | 450 Sutter St Rm 2336, San Francisco, CA 94108-4202 | 2010-05-09 |
| 1881856383 | Jung Sun Han | Dentist | 170 King St, Suite 105, San Francisco, CA 94107-1917 | 2008-06-26 |
| 1760682074 | Thomas Ridge Baker | Dentist | 450 Sutter St Rm 1935, San Francisco, CA 94108-4107 | 2007-07-24 |
| 1801095104 | Eric Engert | Dentist | 450 Sutter St Rm 2326, San Francisco, CA 94108-4202 | 2007-07-16 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94127 |
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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.