ARDAVAN FATEH
NPI 1053630780
Dentist - Periodontics in San Francisco, CA

Active since May 20, 2010
2355 OCEAN AVE, SAN FRANCISCO, CA 94127(415) 333-1173 Get Directions Write a Review

NPPES record last updated: September 16, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ardavan Fateh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARDAVAN FATEH (NPI 1053630780) is an individual periodontics provider in San Francisco, California, licensed in California (60303) and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1053630780
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameARDAVAN FATEH
Location Address2355 OCEAN AVESan Francisco, CA 94127-2600
Mailing Address2355 Ocean AveSan Francisco, CA 94127-2600
Sole ProprietorNo
Enumeration DateMay 20, 2010
Last NPPES UpdateSeptember 16, 2015
NPI 1053630780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Licenses Licensed in CA · 60303 Licensed in CO · 00201945
Definition

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.

Also ListedDentistTaxonomy 122300000X · License DL10896 (MA)
2355 OCEAN AVE, San Francisco, CA 94127

Accepted Insurance

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
2355 OCEAN AVE
SAN FRANCISCO, CA 94127
Dentist (General Practice)
2355 OCEAN AVE
SAN FRANCISCO, CA 94127
Dentist
2355 OCEAN AVE
SAN FRANCISCO, CA 94127
Dentist (Periodontics)
2355 OCEAN AVE
SAN FRANCISCO, CA 94127

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ardavan Fateh's NPI number?

The NPI number for Ardavan Fateh is 1053630780. It was assigned to this individual provider in the NPPES registry on May 20, 2010.

Where is Ardavan Fateh located?

Ardavan Fateh practices at 2355 Ocean Ave, San Francisco, CA 94127. The listed phone number is (415) 333-1173.

What is Ardavan Fateh's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Ardavan Fateh accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Ardavan Fateh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ardavan Fateh was last updated on September 16, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.