Active NPI
Raffi Asadorian, DDS
- Dentist
- Ventura, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 103063
- Practice address
- 1001 Partridge Dr Ste 210
Ventura, CA 93003-0716 - Phone
- (805) 644-9501
- NPI assigned
- Apr 16, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | 103063 | CA | Primary |
Addresses
Primary practice location
1001 Partridge Dr Ste 210
Ventura, CA 93003-0716
Mailing address
1001 Partridge Dr Ste 210
Ventura, CA 93003-0716
Phone (805) 644-9501
Other practice location 1
780 E Centerville Rd Ste 100
Garland, TX 75041-4640
Phone (214) 429-3650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103063 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| I Zak DDS Prof Dental Corp | Dentist | Current | Accepting new patients |
| I Zak DDS Prof Dental Corp | Dentist | Current | Accepting new patients |
| I Zak DDS Prof Dental Corp | Dentist | Current | Accepting new patients |
Locations
10501 Lakewood Blvd
Downey, CA 90241
Phone (562) 862-2341
10501 Lakewood Blvd
#B
Downey, CA 90241
Phone (562) 862-2341
4167 Ohio St
San Diego, CA 92104
Phone (619) 281-6635
5168 Hollister Ave
Santa Barbara, CA 93111
Phone (805) 683-5300
3355 Cochran St
Ste 206
Simi Valley, CA 93063
Phone (805) 520-1100
41593 Winchester Rd
Ste 211
Temecula, CA 92590
Phone (562) 862-2341
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Downey, CA
- NPI 1588901979
-
- Dentist
- Simi Valley, CA
- NPI 1174263974
-
- Dentist
- Temecula, CA
- NPI 1386163483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1144587064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 PARTRIDGE DR STE 210",
"city": "VENTURA",
"state": "CA",
"postal_code": "930030716",
"telephone_number": "805-644-9501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 PARTRIDGE DR STE 210",
"city": "VENTURA",
"state": "CA",
"postal_code": "930030716",
"telephone_number": "805-644-9501"
}
],
"practiceLocations": [
{
"address_1": "780 E Centerville Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Garland",
"state": "TX",
"postal_code": "750414640",
"country_code": "US",
"telephone_number": "214-429-3650",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ASADORIAN",
"first_name": "RAFFI",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-16",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "103063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.