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FARNOUSH FADAVI D.M.D.
NPI 1376675504
Dentist - Endodontics in Seal Beach, CA

Active since March 12, 2007PECOS Enrolled
13001 SEAL BEACH BLVD STE 310, SEAL BEACH, CA 90740(562) 431-1920(562) 431-6134 Get Directions Write a Review

NPPES record last updated: April 9, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Farnoush Fadavi D.m.d. NPPES

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

FARNOUSH FADAVI D.M.D. (NPI 1376675504) is an individual endodontics provider in Seal Beach, California, licensed in California (45855) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376675504
Entity TypeIndividualFemale
Primary Taxonomy1223E0200X
Provider Legal NameFARNOUSH FADAVICredential: D.M.D.
Location Address13001 SEAL BEACH BLVD STE 310Seal Beach, CA 90740-2757
Mailing Address13001 Seal Beach Blvd Ste 310Seal Beach, CA 90740-2757 · (562) 431-1920 · Fax (562) 431-6134
Phone(562) 431-1920
Fax(562) 431-6134
Sole ProprietorYes
Enumeration DateMarch 12, 2007
Last NPPES UpdateApril 9, 2019
✔ NPI 1376675504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in CA · 45855
Definition

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.

13001 SEAL BEACH BLVD STE 310, Seal Beach, CA 90740
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Farnoush Fadavi D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90740 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions

What is Farnoush Fadavi's NPI number?

The NPI number assigned to this healthcare provider is 1376675504, enumerated as an "individual" on March 12, 2007.

Where is the provider located?

The provider is located at 13001 SEAL BEACH BLVD STE 310 SEAL BEACH, CA 90740 and the phone number is (562) 431-1920.

What is the provider's specialty?

Dentist with taxonomy code 1223E0200X and a focus in Endodontics.

What insurance does Farnoush Fadavi accept?

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.