DR. JESSE MICHAEL FA D.D.S
NPI 1629291091
Dentist - Oral and Maxillofacial Surgery in Brentwood, CA

Q: What is Jesse Fa's NPI number?

The NPI number for Jesse Fa is 1629291091. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Q: What is Jesse Fa's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Jesse Fa was last updated on April 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 11, 2007

2201 BALFOUR RD STE E, BRENTWOOD, CA 94513(925) 308-7908(925) 308-7910 Get Directions Write a Review

NPPES record last updated: April 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Jesse Michael Fa D.d.s NPPES

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

DR. JESSE MICHAEL FA D.D.S (NPI 1629291091) is an individual oral and maxillofacial surgery provider in Brentwood, California, licensed in California (55360) and active in the NPI registry since April 2007. He maintains a secondary practice location in Antioch.

NPPES Registry Identity

NPI1629291091

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. JESSE MICHAEL FACredential: D.D.S

Location Address2201 BALFOUR RD STE EBrentwood, CA 94513-4927

Mailing Address317 Windmill Canyon PlClayton, CA 94517-1904 · (415) 519-5620

Phone(925) 308-7908

Fax(925) 308-7910

Sole ProprietorYes

Enumeration DateApril 11, 2007

Last NPPES UpdateApril 8, 2020

NPPES CertifiedApril 8, 2020

✔ NPI 1629291091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in CA · 55360

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

2201 BALFOUR RD STE E, Brentwood, CA 94513

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Secondary Practice Location 1

Location 12390 Country Hills Dr Ste 103Antioch, CA 94509-7437 · Phone (925) 757-2217 · Fax (925) 757-6417

Other Providers at the Same Location NPPES

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

JESSE M. FA, DDS, INC

Dentist (Oral and Maxillofacial Surgery)

2201 BALFOUR RD STE E
BRENTWOOD, CA 94513

Contra Costa County (925) 308-7908

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 Jesse Fa's NPI number?

The NPI number for Jesse Fa is 1629291091. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Jesse Fa located?

Jesse Fa practices at 2201 Balfour Rd Ste E, Brentwood, CA 94513. The listed phone number is (925) 308-7908.

What is Jesse Fa's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Jesse Fa was last updated on April 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.