NPIMap

Organization Active NPI

Reza Radmand D.M.D Inc.

  • Dentist
  • Baldwin Park, CA
National Provider Identifier
1083869382
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
38118 Issued in CA
Legal business name
REZA RADMAND D.M.D INC.
Practice address
4070 Sterling Way
Baldwin Park, CA 91706-4223
Phone
(626) 480-7777
NPI assigned
Dec 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Authorized official

Name
Dr. Reza Radmand, DMD
Title
Owner
Phone
(626) 480-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 38118 CA Primary

Addresses

Primary practice location

4070 Sterling Way
Baldwin Park, CA 91706-4223

Mailing address

4070 Sterling Way
Baldwin Park, CA 91706-4223
Phone (626) 480-7777

National Provider Directory

National Provider Directory
Tax ID family
Advanced Dentistry of Connecticut2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1083869382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4070 STERLING WAY",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917064223",
            "telephone_number": "626-480-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 STERLING WAY",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917064223",
            "telephone_number": "626-480-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZA RADMAND D.M.D INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "RADMAND",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-480-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "38118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.