Maryam Afzali, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39224 Issued in CA

Practice address

16776 Bernardo Center Dr Ste 105
San Diego, CA 92128-2558

Phone

(858) 485-0044

NPI assigned

Aug 13, 2015

Last updated

Aug 13, 2015By the provider in NPPES

Sex

Female

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Mary Afzali,D.D.S.,Inc.

  dba R.B. Family Dentistry

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1235258419
  Authorized official Same address or phone
• Mary Afzali,DDS, Inc

  dba R.B. Family & Cosmetic Dentistry

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1891179438
  Authorized official Same address or phone

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1366818353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16776 BERNARDO CENTER DR STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282558",
            "telephone_number": "858-485-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16776 BERNARDO CENTER DR STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282558",
            "telephone_number": "858-485-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFZALI",
        "first_name": "MARYAM",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-13",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "39224",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamyar Afshar, D.O.
• Maryam Afshar, M.D.
• Pouya Afshar, M.D.
• Marjaneh Afshari, D.C.
• Afshin Habashi DDS Inc (Mission Gorge Modern Dentistry Dent)
• Zaynab Afzali
• Sheryl Aganon
• Lejla Aganovic, MD
• Agape Quality Care, Inc.
• Agapi Psychology, Inc.

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, 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 Aug 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.