Azad Professional Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AZAD PROFESSIONAL DENTAL CORPORATION

Practice address

4221 S H St
Bakersfield, CA 93304-7281

Phone

(661) 558-0022

NPI assigned

Sep 1, 2021

Organization subpart

No

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

Authorized official

Name

Olivia Aguinaga

Title

Business Coordinator

Phone

(805) 698-3017

Specialties & licenses 1

Addresses

Other names 1

• CALIDENTAL BAKERSFIELD WHITE LANE Doing business as

Locations

Practitioners 3

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

• Beshoy Karas

  • Dentist
  • Bakersfield, CA
  • NPI 1386428977
  NPD
• Marco Casco-Gonzalez, DDS

  • Dentist
  • Chula Vista, CA
  • NPI 1770294944
  NPD (past)
• Sanad Dulal, DDS

  • Student in an Organized Health Care Education/Training Program
  • Bakersfield, CA
  • NPI 1548184898
  NPD (past)

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1275201642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 N H ST STE P",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934368141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 S H ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933047281",
            "telephone_number": "661-558-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZAD PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "AGUINAGA",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "BUSINESS COORDINATOR",
        "authorized_official_telephone_number": "805-698-3017"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CALIDENTAL BAKERSFIELD WHITE LANE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lorena Ayon
• Maria Del Rosario Ayon
• Taron Ayrapetyan
• Ramchandra Rao Ayyagari, M.D.
• Azad DMD Inc
• Negin Azadi
• Arian Azamian
• Lisa Lynn Azemika
• Sydni L Azevedo
• Kian J. Azimian, M.D.

• General Practice Dentistry in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.