Nazafarin Javdan, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

101144 Issued in CA

Practice address

9737 Aero Dr Ste 210
San Diego, CA 92123-1854

Phone

(619) 336-8478

NPI assigned

Apr 30, 2012

Sex

Female

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

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1376801191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9737 AERO DR STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231854",
            "telephone_number": "619-336-8478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVDAN",
        "first_name": "NAZAFARIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-30",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "101144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jetzabel Jauregui, BCBA
• Madison Lynn Jaurequi
• Rommel Sotelo Java
• Kianoush Javaheri, M.D.
• Lily Tuba Javaherpour
• Yasaman Javdan
• Khurram Javed
• Kinaan Faridun Javed, DO
• Javidan Dentistry
• Mitra Javidan Mazdyasni, DMD

• Pediatric Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.