Individual provider Active NPI

Pedram Joseph Zaghi, DDS

  • General Practice Dentistry
  • El Monte, CA
National Provider Identifier
1083867386
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
52698 Issued in CA
Practice address
3551 Peck Rd
Unit 101
El Monte, CA 91731-3527
Phone
(626) 444-2002
NPI assigned
Oct 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 52698 CA Primary

Addresses

Primary practice location

3551 Peck Rd
Unit 101
El Monte, CA 91731-3527

Mailing address

3551 Peck Rd
Unit 101
El Monte, CA 91731-3527
Phone (626) 444-2002

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
I20160107002247 CA Practitioner - Oral Surgery 2961704945 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
52698CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph Zaghi D D S Inc CurrentSince Sep 1, 2010 Accepting new patients

Locations

3551 Peck Rd
Ste 101
El Monte, CA 91731
Phone (626) 444-2002

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": "1225324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415836800000",
    "number": "1083867386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 PECK RD",
            "address_2": "UNIT 101",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917313527",
            "telephone_number": "626-444-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 PECK RD",
            "address_2": "UNIT 101",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917313527",
            "telephone_number": "626-444-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAGHI",
        "first_name": "PEDRAM",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-30",
        "last_updated": "2014-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

Verify at the official NPI Registry.