Normandy Joseph Dental Group

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

NORMANDY JOSEPH DENTAL GROUP

Practice address

14011 Van Ness Ave
Gardena, CA 90249-2915

Phone

(310) 327-0404

Fax

(310) 327-1426

NPI assigned

Sep 24, 2020

Organization subpart

Yes

Parent organization

TILDEN BAY JOSEPH DENTAL GROUPAs reported in NPPES

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

Authorized official

Name

Joseph AziziNPI 1992804652

Title

President/Owner

Phone

(310) 466-9571

Specialties & licenses 1

Addresses

Other names 1

• SouthBay Dentistry and Orthodontics Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Part of

Tilden Bay Joseph Dental Group

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Tilden Bay Joseph Dental Group

  • General Practice Dentistry
  • Sherman Oaks, CA
  • NPI 1841627825
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Azizi, DMD

  • Dentist
  • Gardena, CA
  • NPI 1992804652
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1225645252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2934 1/2 BEVERLY GLEN CIRCLE #451",
            "address_2": "451",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771724",
            "telephone_number": "310-695-1589",
            "fax_number": "818-782-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14011 VAN NESS AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902492915",
            "telephone_number": "310-327-0404",
            "fax_number": "310-327-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMANDY JOSEPH DENTAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TILDEN BAY JOSEPH DENTAL GROUP",
        "enumeration_date": "2020-09-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "AZIZI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "310-466-9571"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SouthBay Dentistry and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SouthBay Dentistry and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Marie Noriega
• Marilyn Masunaka Noriega, MA-OTR,L
• Betty R Norman
• Casey Norman
• Normandie Place
• Marlene Lashawn Norwood, M.A.
• Nourishing Seasons Inc.
• Stephanie Rachel Novick
• Anastasia Novikova
• Jaylene Guadalupe Novoa

• Dentist in Gardena, CA
• Providers in Gardena, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.