MEDICARE: FAY NAZARI DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	103286	CA

General Provider Information

NPI Number	:	1689709255
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FAY NAZARI DDS

Provider Business Mailing Address
First Line	:	7161 WALERGA RD
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95842-4621
Country	:	US
Telephone Number	:	916-338-1600
Fax Number	:	916-338-0151

Provider Business Practice Location Address
First Line	:	7161 WALERGA RD
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95842-4621
Country	:	US
Telephone Number	:	916-338-1600
Fax Number	:	916-338-0151

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	04/10/2026

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