Afzali Dental Office of Riverside, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

AFZALI DENTAL OFFICE OF RIVERSIDE, INC.

Practice address

4151 Brockton Ave
Riverside, CA 92501-3442

Phone

(951) 788-4500

NPI assigned

Jul 5, 2023

Last updated

Jul 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gol Mohammadi

Title

Regional Manager

Phone

(951) 788-4500

Specialties & licenses 1

Addresses

Locations

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.

• Nat R Shain, D.D.S.

  • General Practice Dentistry
  • Riverside, CA
  • NPI 1033260153
  NPD (past)

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1447938097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 BROCKTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013442",
            "telephone_number": "951-788-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 BROCKTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013442",
            "telephone_number": "951-788-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFZALI DENTAL OFFICE OF RIVERSIDE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "MOHAMMADI",
        "authorized_official_first_name": "GOL",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "951-788-4500"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mesgana Affework
• Affinity Home Health Care Services, Inc.
• Affinity Hospice Care, Inc.
• Faraz Afridi, MD
• Ardavan M Afshar, MD
• Donya Agahzadehkesheh
• Gabriel Aganon
• Samriddhi Agarwal
• Suman Agarwal, MD
• Edilberto Lumelay Agas Jr., M.D.

• Dental Clinic/Center in Riverside, CA
• Providers in Riverside, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.