Active NPI
Navid Azizi, DDS
- Dentist
- Stockton, CA
National Provider Identifier
1104606425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 109269
- Practice address
- 3031 W March LN Ste 328
Stockton, CA 95219-6562 - Phone
- (408) 402-2489
- NPI assigned
- Oct 3, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 109269 | CA | Primary |
Addresses
Primary practice location
3031 W March LN Ste 328
Stockton, CA 95219-6562
Mailing address
1401 3Rd St
Gilroy, CA 95020-4753
Phone (408) 402-2489
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109269 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1104606425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 3RD ST",
"city": "GILROY",
"state": "CA",
"postal_code": "950204753",
"telephone_number": "408-402-2489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3031 W MARCH LN STE 328",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952196562",
"telephone_number": "408-402-2489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZIZI",
"first_name": "NAVID",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-03",
"last_updated": "2023-10-03",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "109269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.