Organization Active NPI

Long Beach Care Dental Inc.

  • Dentist
  • Long Beach, CA
National Provider Identifier
1265981369
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
62743 Issued in CA
Legal business name
LONG BEACH CARE DENTAL INC.
Practice address
2800 Pacific Ave Ste B
Long Beach, CA 90806-1468
Phone
(562) 989-3030
Fax
(562) 989-3031
NPI assigned
Sep 30, 2016
Last updated
Feb 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Authorized official

Name
Dr. Alborz Mehdizadeh, DDS
Title
Dentist
Phone
(818) 913-8097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 62743 CA Primary

Addresses

Primary practice location

2800 Pacific Ave Ste B
Long Beach, CA 90806-1468

Mailing address

2800 Pacific Ave Ste B
Long Beach, CA 90806-1468
Phone (562) 989-3030

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1265981369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 PACIFIC AVE STE B",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061468",
            "telephone_number": "562-989-3030",
            "fax_number": "562-989-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 PACIFIC AVE STE B",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061468",
            "telephone_number": "562-989-3030",
            "fax_number": "562-989-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH CARE DENTAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-30",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "MEHDIZADEH",
        "authorized_official_first_name": "ALBORZ",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "818-913-8097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "62743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.