Navid Hajiseyed Javadi, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60005 Issued in CA

Practice address

5308 Lake Murray Blvd Ste C
La Mesa, CA 91942-1334

Phone

(619) 464-4411

Fax

(619) 464-4411

NPI assigned

Oct 13, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lake Murray Dental Group

  • Dentist
  • La Mesa, CA
  • NPI 1629269998
  NPD (past)

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1336138296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9871 E SOUTH BEND DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852552537",
            "telephone_number": "503-503-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5308 LAKE MURRAY BLVD STE C",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919421334",
            "telephone_number": "619-464-4411",
            "fax_number": "619-464-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVADI",
        "first_name": "NAVID",
        "middle_name": "HAJISEYED",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "6406",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Virginia James, LCSW
• Tashina Renee Jaques, LCSW
• Caitlin Jaret
• Jason Watson Graney D C
• Sandra Lee Jassmann, MD
• Javier Valadez, DDS, Inc.
• JCS-Manzanita
• Julie Spruell Jeffery, LCSW
• Jeffrey L Marxen MD Apc
• Jeffrey P Wasserstrom MD a Medical Corporation

• General Practice Dentistry in La Mesa, CA
• Providers in La Mesa, 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 Jul 21, 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.