FARDAD TAYEBATY DMD INC (NPI# 1114439015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114439015 |
Entity Type | Organization |
Organization Name | FARDAD TAYEBATY DMD INC |
Practice Address |
390 S Green Valley Rd Ste 7 Watsonville CA 95076-3077 |
Mailing Address |
5700 Village Oaks Dr Apt 1408 San Jose CA 95123-3778 |
Practice Telephone | 8315365880 |
Mailing Telephone | 6178753211 |
Enumeration Date | 2017-10-31 |
Last Update Date | 2017-10-31 |
Authorized Official Name | FARDAD TAYEBATY (PRESIDENT) |
Authorized Official Telephone | 6178753211 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
100912 | CA | Dental Providers |
Street Address |
390 S GREEN VALLEY RD STE 7 |
City | WATSONVILLE |
State | CA |
Zip Code | 95076-3077 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396908943 | Fardad Tayebaty | Dentist | 390 S Green Valley Rd Ste 7, Watsonville, CA 95076-3077 | 2008-07-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841757515 | Vicky E Gonzalez | Case Manager/Care Coordinator | 2714 Freedom Blvrd, Watsonville, CA 95076 | 2019-02-28 |
1861987059 | Encompass Community Services | Community/Behavioral Health | 2714 Freedom Blvd., Freedom, CA 95076 | 2018-06-29 |
1134617798 | Haven of Hope, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 107 Pauline Dr, Watsonville, CA 95076 | 2018-04-28 |
1346743911 | Kathleen Long | Physician Assistant | 2468, 75 Nielson St, Watsonville, CA 95076 | 2018-03-09 |
1811403603 | Hieu Thi Thanh Nguyen Boulom | Pharmacist | 2810 Freedom Blvd, Watsonview, CA 95076 | 2017-12-16 |
1649798398 | Jonathon Rank | Counselor | 335 East Lake Ave, Watsonville, CA 95076 | 2017-09-01 |
1841653318 | Cristina Guzman | Registered Nurse | 195 Aviation Way, Ste 200, Watsonville, CA 95076 | 2016-04-01 |
1013388974 | Salud Para La Gente | Clinic/Center | 195 Aviation Way, Suite 200, Watsonville, CA 95076 | 2015-10-16 |
1386025757 | Yaseer Yousuf Parupia | Podiatrist | 47 Penny Lane, Suite 1, Watsonville, CA 95076 | 2015-06-11 |
1093100935 | Diana Perezchica | Counselor | 20716 Freedom Blv, Watsonville, CA 95076 | 2015-03-30 |
Find all providers in zip 95076 |
Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154976785 | Suman Ramakumar Dds Inc | Dentist | 40 Penny Ln Ste 2, Watsonville, CA 95076-6008 | 2019-08-09 |
1396908943 | Fardad Tayebaty | Dentist | 390 S Green Valley Rd Ste 7, Watsonville, CA 95076-3077 | 2008-07-03 |
1497839856 | Phuong Fern Le | Dentist | 65 Neilson St, Suite 135, Watsonville, CA 95076-2491 | 2006-10-24 |
1194997478 | Dennis Sho Eguchi | Dentist | 390 S Green Valley Rd, Suite #3, Watsonville, CA 95076-3077 | 2008-03-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619578655 | Pinole Endodontics | Dentist | 2150 Appian Way Ste 207, Pinole, CA 94564-2520 | 2020-11-05 |
1518566702 | Sp Endodontics Partnershiop | Dentist | 1300 W Lodi Ave Ste N, Lodi, CA 95242-3038 | 2020-10-20 |
1215535661 | Ascella Justine Ronson | Dentist | 35395 Linda Rosea Rd, Temecula, CA 92592-9532 | 2020-10-16 |
1457964215 | Lars Bjorn Jonsson, D.d.s., M.s., Inc. | Dentist | 25261 Paseo De Valencia Ste 3, Laguna Hills, CA 92637-4966 | 2020-08-31 |
1952929333 | Noureldin Shoreibah Dds Inc | Dentist | 7677 Center Ave Ste 210, Huntington Beach, CA 92647-9103 | 2020-07-11 |
1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
1568091833 | M. Potti Dds Msd Inc | Dentist | 6400 Village Pkwy Ste 100, Dublin, CA 94568-3007 | 2020-04-07 |
1194356840 | Liang Dental Group Inc | Dentist | 5562 Philadelphia St Ste 211, Chino, CA 91710-2499 | 2020-01-31 |
1699313015 | Paul Erben Dmd Msd PC | Dentist | 937 E Main St Ste 204, Santa Maria, CA 93454-5309 | 2019-12-16 |
1396382495 | Narbeh Bandary Dental Corp | Dentist | 4910 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1718 | 2019-12-08 |
Find all providers with the same taxonomy |
City | WATSONVILLE |
Zip Code | 95076 |
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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.