Rozita Bahadori, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

52242 Issued in CA

Practice address

2990 W Grant Line Rd
Tracy, CA 95304-7901

Phone

(209) 830-7797

Fax

(209) 830-6842

NPI assigned

Oct 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346325511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 BOWEN CT",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945825699",
            "telephone_number": "925-829-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 W GRANT LINE RD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953047901",
            "telephone_number": "209-830-7797",
            "fax_number": "209-830-6842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHADORI",
        "first_name": "ROZITA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Azbill
• Evelyn Bac
• Daisha Baca
• Anne C Bader-McHenry, P.T.
• Sonya Kay Badie, RBT
• Feng Bai, MD
• Jennifer Bailey, MD
• Ariesa Bajao
• Prabsimran Bajwa
• Caleb Baker-Hayes

• General Practice Dentistry in Tracy, CA
• Providers in Tracy, 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 8, 2007; 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.