Organization Active NPI

Hamid Kheradmandnia DDS Inc

  • Dental Clinic/Center
  • San Diego, CA
National Provider Identifier
1104016179
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
50620 Issued in CA
Legal business name
HAMID KHERADMANDNIA DDS INC
Practice address
7424 Jackson Dr Ste 9
San Diego, CA 92119-2324
Phone
(619) 461-9494
Fax
(619) 461-9496
NPI assigned
Jul 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Authorized official

Name
Hamid Kheradmandnia, DDSNPI 1174681001
Title
President
Phone
(619) 461-9494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 50620 CA Primary

Addresses

Primary practice location

7424 Jackson Dr Ste 9
San Diego, CA 92119-2324

Mailing address

7424 Jackson Dr Ste 9
San Diego, CA 92119-2324
Phone (619) 461-9494

National Provider Directory

National Provider Directory

Locations

7424 Jackson Dr
Ste 9
San Diego, CA 92119
Phone (619) 461-9494

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1104016179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7424 JACKSON DR STE 9",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921192324",
            "telephone_number": "619-461-9494",
            "fax_number": "619-461-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7424 JACKSON DR STE 9",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921192324",
            "telephone_number": "619-461-9494",
            "fax_number": "619-461-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMID KHERADMANDNIA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "KHERADMANDNIA",
        "authorized_official_first_name": "HAMID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-461-9494",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "50620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.