DR. FARTASH FARKHONDEHKISH (NPI# 1629102058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629102058 |
| Entity Type | Individual |
| Full Name | DR. FARTASH FARKHONDEHKISH |
| Credential | D.D.S., M.S. |
| Practice Address |
25283 Cabot Rd Suite 111 Laguna Hills CA 92653-5522 |
| Practice Telephone | 9497700548 |
| Mailing Telephone | 9497700548 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
52387 | CA | Dental Providers |
| Street Address |
25283 CABOT RD SUITE 111 |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653-5522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558350041 | Everyone Has Potential, Inc | Physical Therapist | 25283 Cabot Rd, Suite 104, Laguna Hills, CA 92653-5522 | 2005-10-18 |
| 1396110391 | Wesley A Bosch | Counselor | 25283 Cabot Rd, Suite 204, Laguna Hills, CA 92653-5522 | 2015-12-02 |
| 1033451125 | Kimberly E. Glossbrenner | Social Worker | 25283 Cabot Rd, #204, Laguna Hills, CA 92653-5522 | 2013-03-26 |
| 1649319872 | Sondra Grossman | Social Worker | 25283 Cabot Rd, 107, Laguna Hills, CA 92653-5522 | 2007-02-05 |
| 1063565521 | Emily Kerr | Social Worker | 25283 Cabot Rd, Suite 107, Laguna Hills, CA 92653-5522 | 2007-01-19 |
| 1518028950 | Teresa Smith Wilshin | Marriage & Family Therapist | 25283 Cabot Rd, Suite #107, Laguna Hills, CA 92653-5509 | 2006-12-12 |
| 1457420606 | Cathy Lynn Weinstein | Marriage & Family Therapist | 25283 Cabot Rd, Suite 204, Laguna Hills, CA 92653-5522 | 2006-11-06 |
| 1295822690 | Mark Cymerint | Chiropractor | 25283 Cabot Rd, 109, Laguna Hills, CA 92653-5522 | 2006-10-06 |
| 1710072079 | Lynn S Gaylord | Marriage & Family Therapist | 25283 Cabot Rd, Suite 201, Laguna Hills, CA 92653-5522 | 2006-10-04 |
| 1104832633 | Elizabeth Ridley White | Marriage & Family Therapist | 25283 Cabot Rd, 107, Laguna Hills, CA 92653-5522 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| 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 |
|---|---|---|---|---|
| 1134368228 | Farshad Saghatchi Dds, Inc. | Dentist | 26534 Moulton Pkwy Ste D, Laguna Hills, CA 92653-8241 | 2009-02-12 |
| 1659460293 | E Clark Wright | Dentist | 25261 Paseo De Valencia Ste 4, Laguna Hills, CA 92637-4966 | 2006-10-12 |
| 1942419767 | Roger Henry Vanscotter | Dentist | 24953 Paseo De Valencia, 2-c, Laguna Hills, CA 92653-4342 | 2007-05-21 |
| 1962591644 | Mark J Redd | Dentist | 25261 Paseo De Valencia, Laguna Hills, CA 92637-4966 | 2006-10-12 |
| 1861594301 | A. Stephen Heller, Dmd, A Professional Corporation | Dentist | 24953 Paseo De Valencia, Suite 18c, Laguna Hills, CA 92653-4342 | 2006-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204780 | Richard Koh Dds Ms Inc. | Dentist | 11 Delano, Irvine, CA 92602-2462 | 2020-10-30 |
| 1225641293 | Richard T. Kao, Dds, Phd - Dental Corp. | Dentist | 1660 Willow St Ste 3, San Jose, CA 95125-5101 | 2020-08-28 |
| 1093325722 | Sergio Florencio Jr, Dds, Dmsc, Inc | Dentist | 1802 San Miguel Dr, Walnut Creek, CA 94596-8606 | 2020-08-06 |
| 1205463445 | Sharona Dayan, Dds, Inc | Dentist | 9735 Wilshire Blvd Ste 211, Beverly Hills, CA 90212-2102 | 2020-03-26 |
| 1215573522 | Vanessa Bikhazi | Dentist | 2372 Se Bristol St Ste A, Newport Beach, CA 92660-0755 | 2019-11-21 |
| 1063057008 | Robert Lacrampe | Dentist | 880 W 1st St Apt 526, Los Angeles, CA 90012-2473 | 2019-11-13 |
| 1376194639 | Snow Nakano & Lopez Professional Dental Corporation | Dentist | 868 Auto Center Dr Ste A, Palmdale, CA 93551-4691 | 2019-09-26 |
| 1659926285 | Suman Ramakumar Dds Inc | Dentist | 1171 Homestead Rd Ste 175, Santa Clara, CA 95050-5484 | 2019-08-09 |
| 1912567058 | Andrew Peterson Dmd Ms PC | Dentist | 9856 Hibiscus Ct, Alta Loma, CA 91737-3637 | 2019-06-20 |
| 1124686233 | Danoukh Dental Corp. | Dentist | 12271 La Mirada Blvd Ste 201, La Mirada, CA 90638-1336 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
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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.