Active NPI
Azin Hajigholamrezaei, DDS
- Dentist
- Glendale, CA
National Provider Identifier
1194989681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 56863
- Practice address
- 420 N Louise St Apt 28
Glendale, CA 91206-2214 - Phone
- (818) 552-2590
- NPI assigned
- Jul 14, 2008
- Sex
- Female
- 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 | 56863 | CA | Primary |
Addresses
Primary practice location
420 N Louise St Apt 28
Glendale, CA 91206-2214
Mailing address
420 N Louise St Apt 28
Glendale, CA 91206-2214
Phone (818) 552-2590
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260230400000",
"number": "1194989681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 N LOUISE ST APT 28",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912062214",
"telephone_number": "818-552-2590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 N LOUISE ST APT 28",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912062214",
"telephone_number": "818-552-2590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAJIGHOLAMREZAEI",
"first_name": "AZIN",
"name_prefix": "Mrs.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-14",
"last_updated": "2009-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "56863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.