Ali Shahzad Ghajar, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42417 Issued in CA

Practice address

1361 E 4TH St
Ontario, CA 91764-3035

Phone

(909) 933-3531

Fax

(909) 933-3533

NPI assigned

Jan 17, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clinica Sierra Vista

  • Federally Qualified Health Center (FQHC)
  • Bakersfield, CA
  • NPI 1861494338
  Medicare reassignment NPD
• Clinica Sierra Vista

  • Community/Retail Pharmacy
  • Lamont, CA
  • NPI 1275161325
  NPD
• Clinica Sierra Vista

  • Federally Qualified Health Center (FQHC)
  • Delano, CA
  • NPI 1427699396
  NPD

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1467504944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 E 4TH ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917643035",
            "telephone_number": "909-933-3531",
            "fax_number": "909-933-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 E 4TH ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917643035",
            "telephone_number": "909-933-3531",
            "fax_number": "909-933-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHZAD GHAJAR",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL NUMBER",
            "identifier": "B42417-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jed E. Shafer, LCSW
• Brian Shaghafi, PA
• Devangi Shah, PHARM.D., BCPS
• Jatin Prabhudas Shah, DDS
• Jay N. Shah, MD
• Radwa Shallan
• Onai Sharif
• Keila Sharifi
• Vantika Shayal Sharma
• Aaron Sharp

• General Practice Dentistry in Ontario, CA
• Providers in Ontario, 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 Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.