Individual provider Active NPI

Sanaz M Azimi Sadjadi, RDHAP

  • Dental Hygienist
  • Oceanside, CA
National Provider Identifier
1477908143
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
612 Issued in CA
Practice address
430 Via Cruz
Oceanside, CA 92057-8521
Phone
(310) 430-6788
NPI assigned
Apr 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 612 CA Primary

Addresses

Primary practice location

430 Via Cruz
Oceanside, CA 92057-8521

Mailing address

430 Via Cruz
Oceanside, CA 92057-8521
Phone (310) 430-6788

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

NPI Registry JSON

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1477908143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 VIA CRUZ",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920578521",
            "telephone_number": "310-430-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 VIA CRUZ",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920578521",
            "telephone_number": "310-430-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIMI SADJADI",
        "first_name": "SANAZ",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "RDHAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.