Reza Abbaszadeh, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37620 Issued in CA

Practice address

8890 Cal Center Dr
Sacramento, CA 95826-3200

Phone

(916) 922-5000

Fax

(916) 646-9000

NPI assigned

Jan 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Other names 1

• Dr. Mohammad Reza Abbaszadeh Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Mohammad Reza Abbaszadeh - Mobile Van

  • Public Health Dentistry
  • Sacramento, CA
  • NPI 1851458517
  Authorized official Same address or phone

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386701001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8890 CAL CENTER DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958263200",
            "telephone_number": "916-922-5000",
            "fax_number": "916-646-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8890 CAL CENTER DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958263200",
            "telephone_number": "916-922-5000",
            "fax_number": "916-646-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBASZADEH",
        "first_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOHAMMAD",
            "last_name": "ABBASZADEH",
            "middle_name": "REZA",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Jon Abate, MD
• Abbacare at Home Corp (AbbaCare At Home)
• Abbas Dental Corporation
• Haytham Mohamed Adel Abbas, D.D.S
• Ferheen Abbasi
• Susan R. Abbott Rogge, NP
• Dominique Abbott
• Gayle Abbott, RN
• Kristi Michelle Abbott, LCSW
• Abc Group Healthcare LLC

• General Practice Dentistry in Sacramento, CA
• Providers in Sacramento, 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.