Individual provider Active NPI

Maziyar Afshin Ghalambor, DDS

  • General Practice Dentistry
  • Bakersfield, CA
National Provider Identifier
1235204645
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44884 Issued in CA
Practice address
1801 26TH St
Bakersfield, CA 93301-2805
Phone
(661) 322-8860
Fax
(661) 322-8864
NPI assigned
Nov 21, 2006
Last updated
Jul 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 44884 CA Primary

Addresses

Primary practice location

1801 26TH St
Bakersfield, CA 93301-2805

Mailing address

1801 26TH St
Bakersfield, CA 93301-2805
Phone (661) 322-8860

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44884CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1235204645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 26TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012805",
            "telephone_number": "661-322-8860",
            "fax_number": "661-322-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 26TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012805",
            "telephone_number": "661-322-8860",
            "fax_number": "661-322-8864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHALAMBOR",
        "first_name": "MAZIYAR",
        "middle_name": "AFSHIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.