Ahmad Hakimjavadi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

102183 Issued in CA

Practice address

170 El Cerrito PLZ
El Cerrito, CA 94530-4002

Phone

(925) 294-0665

NPI assigned

Nov 28, 2017

Sex

Male

Sole proprietor

Yes

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

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.

• Amardeep Gill and Reymond Bautista Dental Corporation

  • General Practice Dentistry
  • El Cerrito, CA
  • NPI 1609393206
  NPD (past)

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1366956484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 HOUGH AVE APT 5",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494339",
            "telephone_number": "925-448-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 EL CERRITO PLZ",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945304002",
            "telephone_number": "925-294-0665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "917 Hough Ave Apt 5",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CA",
            "postal_code": "945494339",
            "country_code": "US",
            "telephone_number": "925-448-1888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAKIMJAVADI",
        "first_name": "AHMAD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "102183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassondra Grayson
• Ruth Greenberg, MFT
• Susan Marinel Greene, PH.D.
• Chloe Ann Gross
• Mitchell Ichihashi Guss, LMFT
• Jane Lalhruaisuaki Halam, DDS
• Kimberly McNeal Hale, DPT
• Jennifer F Haller, LCSW
• Jeremiah Weinstock Hansen
• Suzanne Harkless, LCSW

• General Practice Dentistry in El Cerrito, CA
• Providers in El Cerrito, 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 Mar 17, 2018; 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.