Individual provider Active NPI

Kati Ozra Asgarifar, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Oxnard, CA
National Provider Identifier
1053594580
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
42799 Issued in CA
Practice address
455 S C St
Oxnard, CA 93030-5917
Phone
(805) 486-8294
Fax
(805) 483-0246
NPI assigned
Dec 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 42799 CA Primary

Addresses

Primary practice location

455 S C St
Oxnard, CA 93030-5917

Mailing address

455 S C St
Oxnard, CA 93030-5917
Phone (805) 486-8294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150930000992 CA Order and Referring Only - DentistPractitioner - Dentist 5496063125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Western Dental Services, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kasgarifar@direct.westerndental.com

Organizations & group practices 1

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": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1053594580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 S C ST",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930305917",
            "telephone_number": "805-486-8294",
            "fax_number": "805-483-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 S C ST",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930305917",
            "telephone_number": "805-486-8294",
            "fax_number": "805-483-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASGARIFAR",
        "first_name": "KATI",
        "middle_name": "OZRA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "42799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.