Organization Active NPI

Baldwin Park Family Dental

  • Dentist
  • Baldwin Park, CA
National Provider Identifier
1386834166
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39643 Issued in CA
Legal business name
BALDWIN PARK FAMILY DENTAL
Practice address
13020 Francisquito Ave
Ste 7
Baldwin Park, CA 91706-3700
Phone
(626) 962-9474
Fax
(626) 851-9534
NPI assigned
Jul 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

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

Authorized official

Name
Sean Sohail Hakimi, D.D.S.
Title
Owner
Phone
(661) 255-3130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 39643 CA Primary

Addresses

Primary practice location

13020 Francisquito Ave
Ste 7
Baldwin Park, CA 91706-3700

Mailing address

PO Box 55368
Valencia, CA 91385-0368
Phone (661) 255-3130

National Provider Directory

National Provider Directory

Locations

13020 Francisquito Ave
Ste 7
Baldwin Park, CA 91706
Phone (626) 962-9474

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1386834166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55368",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913850368",
            "telephone_number": "661-255-3130",
            "fax_number": "661-451-5248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13020 FRANCISQUITO AVE",
            "address_2": "STE 7",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063700",
            "telephone_number": "626-962-9474",
            "fax_number": "626-851-9534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALDWIN PARK FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "HAKIMI",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "SOHAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-255-3130",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "39643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.