Jesse M. Fa, DDS, Inc
NPI 1649689597ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Brentwood, CA
Dentist, Oral and Maxillofacial Surgery in Brentwood, California, registered in NPPES in August 2014. The authorized official on file is Jesse Michael Fa, DDS, Owner.
Overview
| NPI | 1649689597 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 5, 2014 |
| Last updated in NPPES | Apr 8, 2020 |
| Certified by provider | Apr 8, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | 55360 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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