Active NPI
Ali Asgari, D.D.S.
- Pediatric Dentistry
- San Marcos, CA
National Provider Identifier
1053449439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 50 052367
- Practice address
- 327 S Rancho Santa Fe Rd
Suite G
San Marcos, CA 92078-2347 - Phone
- (917) 747-6193
- Fax
- (760) 744-3001
- NPI assigned
- Feb 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 50 052367 | NY | Primary |
| Pediatric Dentistry | 1223P0221X | 58468 | CA |
Addresses
Primary practice location
327 S Rancho Santa Fe Rd
Suite G
San Marcos, CA 92078-2347
Mailing address
327 S Rancho Santa Fe Rd
Suite G
San Marcos, CA 92078-2347
Phone (917) 747-6193
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053449439 | Other | CA | MEDI-CAL |
| 02804222 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50 052367 | NY | MD | Pediatric Dentist |
| 58468 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asgari Dental P.C. | Past | Accepting new patients | |
| Asgari Dental P.C. | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441324800000",
"number": "1053449439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 S RANCHO SANTA FE RD",
"address_2": "SUITE G",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920782347",
"telephone_number": "917-747-6193",
"fax_number": "760-744-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 S RANCHO SANTA FE RD",
"address_2": "SUITE G",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920782347",
"telephone_number": "917-747-6193",
"fax_number": "760-744-3001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASGARI",
"first_name": "ALI",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2015-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "50 052367",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "58468",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "1053449439",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02804222",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.