Organization Active NPI

Fereshteh Maghsoudy DMD Inc

  • Preferred Provider Organization
  • La Jolla, CA
National Provider Identifier
1124454897
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
44022 Issued in CA
Legal business name
FERESHTEH MAGHSOUDY DMD INC
Practice address
8950 Villa la Jolla Dr Ste B207
La Jolla, CA 92037-1725
Phone
(858) 558-3490
Fax
(858) 558-3188
NPI assigned
Sep 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Authorized official

Name
Fereshteh Maghsoudy, DMDNPI 1407063720
Title
Dentist/President
Phone
(858) 558-3490

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
Preferred Provider Organization 305R00000X 44022 CA Primary

Addresses

Primary practice location

8950 Villa la Jolla Dr Ste B207
La Jolla, CA 92037-1725

Mailing address

8950 Villa la Jolla Drive #B207
La Jolla, CA 92037-1725
Phone (858) 558-3490

Other names 1

  • La Jolla Village Dental Office Doing business as

National Provider Directory

National Provider Directory

Locations

8950 Villa La Jolla Dr
Ste B207
La Jolla, CA 92037
Phone (858) 558-3490

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": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1124454897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 VILLA LA JOLLA DRIVE #B207",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371725",
            "telephone_number": "858-558-3490",
            "fax_number": "858-558-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 VILLA LA JOLLA DR STE B207",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371725",
            "telephone_number": "858-558-3490",
            "fax_number": "858-558-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERESHTEH MAGHSOUDY DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "MAGHSOUDY",
        "authorized_official_first_name": "FERESHTEH",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "858-558-3490",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "44022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Jolla Village Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.