Active NPI
Golamali Oftadeh, DMD
- Dentist
- Long Beach, CA
National Provider Identifier
1467649137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 38894
- Practice address
- 3530 Atlantic Ave Ste 103
Suite 103
Long Beach, CA 90807-4569 - Phone
- (562) 988-2700
- Fax
- (562) 988-2788
- NPI assigned
- Sep 26, 2007
- Last updated
- May 14, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 38894 | CA | Primary |
Addresses
Primary practice location
3530 Atlantic Ave Ste 103
Suite 103
Long Beach, CA 90807-4569
Mailing address
3530 Atlantic Ave Ste 103
Suite 103
Long Beach, CA 90807-4569
Phone (562) 988-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38894 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soleimani Dental Corporation | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273795200000",
"number": "1467649137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3530 ATLANTIC AVE STE 103",
"address_2": "SUITE 103",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908074569",
"telephone_number": "562-988-2700",
"fax_number": "562-988-2788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3530 ATLANTIC AVE STE 103",
"address_2": "SUITE 103",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908074569",
"telephone_number": "562-988-2700",
"fax_number": "562-988-2788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OFTADEH",
"first_name": "GOLAMALI",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-26",
"last_updated": "2010-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "38894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.