Azadeh Afzali D.D.S, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

AZADEH AFZALI D.D.S, INC.

Practice address

1918 Business Center Dr Ste 210
San Bernardino, CA 92408-3441

Phone

(909) 881-3336

NPI assigned

Jun 5, 2023

Organization subpart

Yes

Parent organization

AZADEH AFZALI D.D.S., INC.As reported in NPPES

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

Authorized official

Name

Gol Mohammadi

Title

Regional Manager

Phone

(909) 881-3336

Specialties & licenses 1

Addresses

Part of

Azadeh Afzali DDS Inc

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.

• Azadeh Afzali D.D.S, Inc.

  dba SB Lifetime Dental

  • General Practice Dentistry
  • San Bernardino, CA
  • NPI 1669833810
  NPPES parent name

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1245924083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 BUSINESS CENTER DR STE 210",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 BUSINESS CENTER DR STE 210",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083441",
            "telephone_number": "909-881-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZADEH AFZALI D.D.S, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AZADEH AFZALI D.D.S., INC.",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "MOHAMMADI",
        "authorized_official_first_name": "GOL",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "909-881-3336"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Ayala
• Maria Pia Ayala, LCSW
• Micaela Ayala
• Mindy Ayala
• Ayla Corporation (Hospitality Eyecare Center of Optometry)
• Azadeh Afzali D.D.S, Inc. (SB Lifetime Dental)
• Antoinette Azar, M.D.
• Beatriz Azevedo Braga
• Nazanin Azizi Shalbaf, MD
• Bridgitte Babbitt

• Dental Clinic/Center in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.