Individual provider Active NPI

Mojdeh Abbasian, DDS

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1376622506
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48525 Issued in CA
Practice address
9254 Scranton Rd # 108
San Diego, CA 92121-1750
Phone
(858) 453-4003
Fax
(858) 453-4001
NPI assigned
Nov 6, 2006
Last updated
Dec 12, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 48525 CA Primary

Addresses

Primary practice location

9254 Scranton Rd # 108
San Diego, CA 92121-1750

Mailing address

9254 Scranton Rd # 108
San Diego, CA 92121-1750
Phone (858) 453-4003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
48525CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1376622506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9254 SCRANTON RD # 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211750",
            "telephone_number": "858-453-4003",
            "fax_number": "858-453-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9254 SCRANTON RD # 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211750",
            "telephone_number": "858-453-4003",
            "fax_number": "858-453-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBASIAN",
        "first_name": "MOJDEH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 12, 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.