Cudick L. Azurduy, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49840 Issued in CA

Practice address

7275 E Southgate Dr
Suite 110
Sacramento, CA 95823-2628

Phone

(916) 391-7525

Fax

(916) 391-7449

NPI assigned

May 23, 2007

Last updated

Apr 24, 2009By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Palm Phan Dental Group Inc

  • General Practice Dentistry
  • Sacramento, CA
  • NPI 1669342366
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240531200000",
    "number": "1457561151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7275 E SOUTHGATE DR",
            "address_2": "SUITE 110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232628",
            "telephone_number": "916-391-7525",
            "fax_number": "916-391-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7275 E SOUTHGATE DR",
            "address_2": "SUITE 110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232628",
            "telephone_number": "916-391-7525",
            "fax_number": "916-391-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZURDUY",
        "first_name": "CUDICK",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2009-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soran Sepehr Azizi, DPM
• Victoria Azmanova
• Shannon R Aznoe
• Azouz Dental Corp., a California Professional Corporation (Greenhaven Dental Care)
• Jameson Azul
• Daniel Azurduy, DDS
• Adellena Marie Azzinaro, CRNA, RN
• B and Sons Trucking LLC
• B Luxx Inc Bianca Zitelli LCSW
• B W Reliable Transportation 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 Apr 24, 2009; 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.