Individual provider Active NPI

Darian Avin

  • General Practice Dentistry
  • Oxnard, CA
National Provider Identifier
1295411627
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
108967 Issued in CA
Practice address
126 Deodar Ave
Oxnard, CA 93030-4927
Phone
(805) 760-3857
NPI assigned
Jun 21, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 108967 CA Primary

Addresses

Primary practice location

126 Deodar Ave
Oxnard, CA 93030-4927

Mailing address

1508 Warm Springs Ave
Newbury Park, CA 91320-6579
Phone (805) 760-3857

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240201001467 CA Practitioner - Dentist 2062865413 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
108967CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
I Zak DDS Prof Dental Corp General Practice CurrentSince Dec 19, 2023 Accepting new patients
I Zak DDS Prof Dental Corp Current Accepting new patients
I Zak DDS Prof Dental Corp CurrentSince Dec 19, 2023 Accepting new patients
I Zak DDS Prof Dental Corp General Practice CurrentSince Dec 19, 2023 Accepting new patients

Locations

10501 Lakewood Blvd
Downey, CA 90241
Phone (562) 862-2341

10501 Lakewood Blvd
#B
Downey, CA 90241
Phone (562) 862-2341

3620 Long Beach Blvd
Ste B6
Long Beach, CA 90807
Phone (562) 426-6458

4167 Ohio St
San Diego, CA 92104
Phone (619) 281-6635

5168 Hollister Ave
Santa Barbara, CA 93111
Phone (805) 683-5300

3355 Cochran St
Ste 206
Simi Valley, CA 93063
Phone (805) 520-1100

41593 Winchester Rd
Ste 211
Temecula, CA 92590
Phone (562) 862-2341

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1295411627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 WARM SPRINGS AVE",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206579",
            "telephone_number": "805-760-3857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 DEODAR AVE",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930304927",
            "telephone_number": "805-760-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVIN",
        "first_name": "DARIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "108967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.