Nazanin Alameh Zadeh, DDS
Individual provider Active NPI General Practice Dentistry · Dana Point, CA
NPI 1124196647 · NPPES record last updated Jan 4, 2011
Key facts
- NPI
- 1124196647
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 49724 (CA)
- Practice address
- 24060 Camino del Avion Ste 4B
Dana Point, CA 92629-4006 - Phone
- (858) 349-9770
- NPI assigned
- Dec 1, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160302001751 | CA | Order and Referring Only - Dentist |
5496051302 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49724 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alameh Zadeh, DDS, Inc. | General Practice | Current | Accepting new patients |
Locations
24060 Camino del Avion
Ste 4B
Dana Point, CA 92629
Phone (858) 349-9770
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 49724 | CA | Yes |
Addresses
Primary practice location
24060 Camino del Avion Ste 4B
Dana Point, CA 92629-4006
Mailing address
24060 Camino del Avion Ste 4B
Dana Point, CA 92629-4006
Phone (858) 349-9770
Other providers in Dana Point, CA
- Lorraine Perkins Affuso
- Ahma Inc
- Huda Ahmed
- Sarah Ahumada
- Alameh Zadeh, DDS, Inc.
- Albertson Acupuncture & Herbal Care, Inc
- Kathleen Ann Albertson
- Albertsons LLC
- Alexandra Rose Corporation
- Alter Addiction Treatment LLC
All providers in Dana Point, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.