Organization Active NPI

Saghizadeh Dental Partnership

  • Dentist
  • Newbury Park, CA
National Provider Identifier
1477242808
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SAGHIZADEH DENTAL PARTNERSHIP
Practice address
1000 Newbury Rd Ste 13a
Newbury Park, CA 91320-6435
Phone
(805) 375-9383
Fax
(805) 375-9386
NPI assigned
May 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Dr. Peyman Saghizadeh, DDS
Title
Owner/Partner/Doctor
Phone
(805) 375-9383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1000 Newbury Rd Ste 13a
Newbury Park, CA 91320-6435

Mailing address

1000 Newbury Rd Ste 280
Newbury Park, CA 91320-6445
Phone (805) 375-9383

Other practice location 1

11701 Wilshire Blvd Ste 13A
Los Angeles, CA 90025-1535
Phone (310) 409-4444

Other names 1

  • Newbury Dental Group Other name

National Provider Directory

National Provider Directory

Locations

11701 Wilshire Blvd
Ste 13A
Los Angeles, CA 90025
Phone (310) 409-4444

1000 Newbury Rd
Ste 13A
Newbury Park, CA 91320
Phone (805) 375-9383

NPI Registry JSON

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1477242808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NEWBURY RD STE 280",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206445",
            "telephone_number": "805-375-9383",
            "fax_number": "805-375-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NEWBURY RD STE 13A",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206435",
            "telephone_number": "805-375-9383",
            "fax_number": "805-375-9386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11701 Wilshire Blvd Ste 13A",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900251535",
            "country_code": "US",
            "telephone_number": "310-409-4444",
            "fax_number": "424-325-3142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAGHIZADEH DENTAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "SAGHIZADEH",
        "authorized_official_first_name": "PEYMAN",
        "authorized_official_title_or_position": "OWNER/PARTNER/DOCTOR",
        "authorized_official_telephone_number": "805-375-9383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newbury Dental Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newbury Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.