HOOMAN FAKHRAI DMD, INC (NPI# 1891207155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891207155 |
| Entity Type | Organization |
| Organization Name | HOOMAN FAKHRAI DMD, INC |
| Practice Address |
754 Medical Center Ct Ste 201 Chula Vista CA 91911-6656 |
| Mailing Address |
3252 Via Alicante La Jolla CA 92037-2742 |
| Practice Telephone | 6196569222 |
| Mailing Telephone | 8583361442 |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-10-26 |
| Authorized Official Name | HOOMAN FAKHRAI (PRESIDENT) |
| Authorized Official Telephone | 6196569222 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
754 MEDICAL CENTER CT STE 201 |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91911-6656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386758662 | Marites Manalo Perez | Dentist | 754 Medical Center Ct Ste 201, Chula Vista, CA 91911-6656 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011064 | Hfm Inc | Pharmacy | 750 Medical Center Court, Suite 8, Unit A, Chula Vista, CA 91911 | 2020-07-24 |
| 1659991198 | Cindy Way | Student in an Organized Health Care Education/Training Program | 1161 Bay Blvd. Ste. B Chula Vista,ca 91911, Chula Vista, CA 91911 | 2020-04-24 |
| 1083243455 | Uriel Angel Gonzalez | Student in an Organized Health Care Education/Training Program | 1161 Bay Boulevard B, Chula Vista, Chula Vista, CA 91911 | 2020-04-07 |
| 1083252464 | Denisse Patricia Macias | Dentist | 235 East Orange Avenue, Apartment E4, Chula Vista, CA 91911 | 2019-12-16 |
| 1952955494 | Jenifer Irene Wright | Counselor | 1180 Third Ave Suite C-3, Chula Vista, CA 91911 | 2019-08-01 |
| 1891357075 | Myriam Lourdes Scales | Counselor | 1172 3rd Ave Suite D1, Chula Vista, CA 91911 | 2019-07-08 |
| 1295228328 | Centro De Salud De La Comunidad De San Ysidro, Inc | Clinic/Center | 880 Third Ave Ste A, Chula Vista, CA 91911 | 2018-06-13 |
| 1902398589 | The Arc of San Diego | Day Training, Developmentally Disabled Services | 1280 Nolan Avenue, Chula Vista, CA 91911 | 2018-05-31 |
| 1003344292 | Jalitza Cardona | Peer Specialist | 853 3rd Ave, Suite C, Chula Vista, CA 91911 | 2017-06-01 |
| 1598138042 | Amy Nylund | Nurse Practitioner | 754 Medical Center Ct Ste 100, Chula Vista, CA 91911 | 2015-11-05 |
| Find all providers in zip 91911 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902468705 | Marichris Damasco | Dentist | 397 E St Ste A, Chula Vista, CA 91910-2684 | 2019-07-01 |
| 1184199705 | Cluff Dental Corporation | Dentist | 232 Third Ave, Chula Vista, CA 91910-2711 | 2018-10-10 |
| 1154817138 | Diana Heineken | Dentist | 1415 Ridgeback Rd Ste 26, Chula Vista, CA 91910-6990 | 2018-07-02 |
| 1396154274 | Helen Moreno | Dentist | 2009 Chardonnay Terrace, Chula Vista, CA 91913 | 2014-08-05 |
| 1891043477 | Deanna Risos Dmd,pc. | Dentist | 841 Kuhn Dr. Ste # 102, Chula Vista, CA 91914 | 2012-08-29 |
| 1750639456 | Olga Suiz | Dentist | 661 Third Ave., Chula Vista, CA 91910 | 2012-08-28 |
| 1255686036 | Sonal Singh Dental Corporation | Dentist | 700 Otay Lakes Rd, Chula Vista, CA 91910-6912 | 2012-07-18 |
| 1336407410 | Maria Luisa C. Vales, D.m.d., Inc. | Dentist | 88 E Bonita Rd Ste F, Chula Vista, CA 91910-3057 | 2012-04-26 |
| 1407137730 | Sailaja Kuruvadi | Dentist | 730 Broadway Ste 104, Chula Vista, CA 91910-5362 | 2011-08-31 |
| 1932489234 | James A Buhanan | Dentist | 2443 Mackenzie Creek Rd, Chula Vista, CA 91914-3533 | 2011-08-18 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91911 |
Please comment or provide details below to improve the information on HOOMAN FAKHRAI DMD, INC.
| 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.