Organization Active NPI

Afshin Mazdeyasnan DDS Inc

Doing business as California Dental Office of Afshin Mazdeysnan DDS Inc

  • General Practice Dentistry
  • San Fernando, CA
National Provider Identifier
1427110873
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AFSHIN MAZDEYASNAN DDS INC
Doing business as
California Dental Office of Afshin Mazdeysnan DDS Inc
Practice address
2040 Glenoaks Blvd
Suite F
San Fernando, CA 91340
Phone
(818) 361-3889
Fax
(818) 361-6280
NPI assigned
Dec 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Afshin Mazdeyasnan, DDSNPI 1245397975
Title
Principle Officer President
Phone
(818) 361-3889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

2040 Glenoaks Blvd
Suite F
San Fernando, CA 91340

Mailing address

2040 Glenoaks Blvd
Suite F
San Fernando, CA 91340
Phone (818) 361-3889

Other names 1

  • California Dental Office of Afshin Mazdeysnan DDS Inc Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427110873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 GLENOAKS BLVD",
            "address_2": "SUITE F",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "91340",
            "telephone_number": "818-361-3889",
            "fax_number": "818-361-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 GLENOAKS BLVD",
            "address_2": "SUITE F",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "91340",
            "telephone_number": "818-361-3889",
            "fax_number": "818-361-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFSHIN MAZDEYASNAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAZDEYASNAN",
        "authorized_official_first_name": "AFSHIN",
        "authorized_official_title_or_position": "PRINCIPLE OFFICER PRESIDENT",
        "authorized_official_telephone_number": "818-361-3889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Dental Office of Afshin Mazdeysnan DDS Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Fernando, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.