Iman Malek Hedayat, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

62640 Issued in CA

Practice address

3755 S Plaza Dr
Santa Ana, CA 92704-7463

Phone

(657) 212-5324

NPI assigned

Aug 6, 2013

Last updated

Mar 26, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hedayat Dental Corporation

  • Dental Clinic/Center
  • Long Beach, CA
  • NPI 1578266540
  NPD Authorized official
• Iman Malek Hedayat DDS Inc

  • Dental Clinic/Center
  • Santa Ana, CA
  • NPI 1467018648
  NPD Authorized official
• Anh Ho DMD Dental Corporation

  dba Long Beach Care Dental

  • Dental Clinic/Center
  • Long Beach, CA
  • NPI 1083308993
  NPD (past)
• Long Beach Care Dental Inc.

  • Dentist
  • Long Beach, CA
  • NPI 1265981369
  NPD (past)

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679788800000",
    "number": "1235561713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 NATIVE SPG",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926181197",
            "telephone_number": "949-292-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 S PLAZA DR",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047463",
            "telephone_number": "657-212-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEK HEDAYAT",
        "first_name": "IMAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-06",
        "last_updated": "2023-03-26",
        "certification_date": "2023-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "62640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Maldonado
• Luz Esmeralda Maldonado
• Noemi Maldonado
• Ricardo Maldonado
• Veronika Elyssa Maldonado
• Laila Labib Malek, DDS
• Mackenzie Taylor Malerstein
• Michael Paul Malfavon
• Stacy Malit
• Cassidy Leeann Malner

• Dentist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2023; 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.

Verify at the official NPI Registry.