Javad Sage Aghaloo, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

51184 Issued in CA

Practice address

1502 S. la Brucherie Rd.
El Centro, CA 92243

Phone

(760) 482-5505

Fax

(760) 482-5501

NPI assigned

Sep 7, 2007

Last updated

May 5, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southwest Dental Group

  • General Practice Dentistry
  • El Centro, CA
  • NPI 1134376551
  NPD Authorized official
• Javad Aghaloo DDS a Professional Corporation

  dba Southwest Dental Group

  • Public Health Dentistry
  • El Centro, CA
  • NPI 1245606789
  Authorized official Same address or phone
• Aghaloo, DDS, Inc.

  dba Shadow Hills Dental Care

  • General Practice Dentistry
  • Palm Desert, CA
  • NPI 1831440502
  NPD

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1073708582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 S. LA BRUCHERIE RD.",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "92243",
            "telephone_number": "760-482-5505",
            "fax_number": "760-482-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 S. LA BRUCHERIE RD.",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "92243",
            "telephone_number": "760-482-5505",
            "fax_number": "760-482-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGHALOO",
        "first_name": "JAVAD",
        "middle_name": "SAGE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-07",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "51184",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ana Fernanda Aguilar
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• General Practice Dentistry in El Centro, CA
• Providers in El Centro, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.