Negar Kohandarvish DDS,Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

035346 Issued in CA

Legal business name

NEGAR KOHANDARVISH DDS,INC.

Doing business as

PALM DENTAL CARE

Practice address

2177 Ventura Blvd
Camarillo, CA 93010-7934

Phone

(805) 388-1048

Fax

(805) 388-1698

NPI assigned

Feb 21, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Negar Kohandarvish, DDSNPI 1265648034

Title

Owner

Phone

(805) 388-1048

Specialties & licenses 1

Addresses

Other names 1

• PALM DENTAL CARE Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Negar Kohandarvish, DDS

  • Dentist
  • Camarillo, CA
  • NPI 1265648034
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392940800000",
    "number": "1023433497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 VENTURA BLVD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930107934",
            "telephone_number": "805-388-1048",
            "fax_number": "805-388-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2177 VENTURA BLVD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930107934",
            "telephone_number": "805-388-1048",
            "fax_number": "805-388-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEGAR KOHANDARVISH DDS,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-21",
        "last_updated": "2014-02-21",
        "status": "A",
        "authorized_official_last_name": "KOHANDARVISH",
        "authorized_official_first_name": "NEGAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-388-1048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "035346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALM DENTAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.