Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fair Oaks Orthodontics

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1811435092

Fair Oaks Orthodontics is an Orthodontics and Dentofacial Orthopedics Dentistry in South Pasadena, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
Specialties on file
2

Practice location Address checks out

1318 Fair Oaks Ave Ste A
South Pasadena, CA 91030-3808
Phone: (626) 795-5978
Fax: (626) 796-1173
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 58043 (CA)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence 55726 (CA)

Record details

NPI number1811435092
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sharon Bradley — Insurance Coordinator · (626) 795-5978
NPI enumeratedFebruary 7, 2017
Last updated in NPPESFebruary 7, 2017
Mailing address1318 Fair Oaks Ave, Suite A, South Pasadena, CA 91030-3808

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