Organization Active NPI

Azita Vakili D.M.D., a Dental Corporation

  • Prosthodontics
  • Solana Beach, CA
National Provider Identifier
1407279805
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
36443 Issued in CA
Legal business name
AZITA VAKILI D.M.D., A DENTAL CORPORATION
Practice address
530 Lomas Santa Fe Dr Ste 3
Solana Beach, CA 92075-1350
Phone
(858) 481-5210
NPI assigned
Jan 22, 2014
Last updated
Jan 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Authorized official

Name
Mojtaba Esfahani
Title
Employee
Phone
(760) 473-1957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X 36443 CA Primary

Addresses

Primary practice location

530 Lomas Santa Fe Dr Ste 3
Solana Beach, CA 92075-1350

Mailing address

530 Lomas Santa Fe Dr Ste 3
Solana Beach, CA 92075-1350
Phone (858) 481-5210

National Provider Directory

National Provider Directory

Locations

530 Lomas Santa Fe Dr
Ste 3
Solana Beach, CA 92075
Phone (858) 481-5210

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1407279805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 LOMAS SANTA FE DR STE 3",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751350",
            "telephone_number": "858-481-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 LOMAS SANTA FE DR STE 3",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751350",
            "telephone_number": "858-481-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZITA VAKILI D.M.D., A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "ESFAHANI",
        "authorized_official_first_name": "MOJTABA",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "760-473-1957"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "36443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solana Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.