Organization Active NPI

Kambiz Ardjmand, D.D.S., Inc.

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1295869287
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38248 Issued in CA
Legal business name
KAMBIZ ARDJMAND, D.D.S., INC.
Practice address
4230 30TH St
San Diego, CA 92104-1312
Phone
(619) 282-1007
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kambiz Ardjmand, D.D.S.NPI 1982781324
Title
Dentist
Phone
(619) 282-1007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 38248 CA Primary

Addresses

Primary practice location

4230 30TH St
San Diego, CA 92104-1312

Mailing address

4230 30TH St
San Diego, CA 92104-1312
Phone (619) 282-1007

Other names 1

  • sunshine dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

4230 30th St
San Diego, CA 92104
Phone (619) 282-1007

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295869287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 30TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921041312",
            "telephone_number": "619-282-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 30TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921041312",
            "telephone_number": "619-282-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMBIZ ARDJMAND, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARDJMAND",
        "authorized_official_first_name": "KAMBIZ",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "619-282-1007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "sunshine dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.