Javad Aghaloo DDS a Professional Corporation

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

51184 Issued in CA

Legal business name

JAVAD AGHALOO DDS A PROFESSIONAL CORPORATION

Practice address

1502 S la Brucherie Rd
El Centro, CA 92243-9495

Phone

(760) 482-5505

Fax

(760) 482-5501

NPI assigned

Aug 19, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Javad Sage Aghaloo, DDS

Title

Owner

Phone

(760) 482-5505

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Southwest Dental Group Doing business as

Locations

Practitioners 1

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

• Melissa E Mani, DDS

  • Dentist
  • El Centro, CA
  • NPI 1548212509
  NPD (past)

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1245606789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 S LA BRUCHERIE RD",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922439495",
            "telephone_number": "760-482-5505",
            "fax_number": "760-482-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 S LA BRUCHERIE RD",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922439495",
            "telephone_number": "760-482-5505",
            "fax_number": "760-482-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVAD AGHALOO DDS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "AGHALOO",
        "authorized_official_first_name": "JAVAD",
        "authorized_official_middle_name": "SAGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-482-5505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "CA",
            "license": "51184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "1245606789",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yolanda Maire Jaime, LVN
• James a Pollack MD LLC
• James M. Roach M.D.
• James W Lee MD Apc
• Albert Jauregui
• Sarai Jazek
• Sydney Rae Jeffcoat
• Jeffrey Dulay Chan
• Alma Michelle Jerez
• Sonia Jimenez Garcia

• Public Health Dentistry in El Centro, CA
• Providers in El Centro, CA by specialty
• Public Health Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.