Naeem Etemadi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

103197 Issued in CA

Practice address

11770 Bernardo Plaza CT Ste 350
San Diego, CA 92128-2426

Phone

(858) 633-1110

Fax

(858) 633-1331

NPI assigned

Jul 11, 2018

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

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

State licenses

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1477039592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11770 BERNARDO PLAZA CT STE 350",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282426",
            "telephone_number": "858-633-1110",
            "fax_number": "858-633-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11770 BERNARDO PLAZA CT STE 350",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282426",
            "telephone_number": "858-633-1110",
            "fax_number": "858-633-1331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 Main St Apt 139",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926145002",
            "country_code": "US",
            "telephone_number": "917-803-3894",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 Main St Apt 139",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926145002",
            "country_code": "US",
            "telephone_number": "917-803-3894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETEMADI",
        "first_name": "NAEEM",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-11",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosanne Gail Estropia, MOT, OTR/L
• Yuval Estrov, M.D.
• Eszter Kalman
• Yasaman Etemadfard, PHARMD
• Daniel Thomas Etemadi
• Shapour Etemadzadeh, R.D.H.
• Keith Francis Eten, IDC
• Etesam MD Inc
• Arshia Sean Etesam, M.D.
• Ethereal Hospice, Inc.

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, 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 Jul 29, 2025; 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.