Azza Jandali, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

46833 Issued in CA

Practice address

24266 Postal Ave
Ste 100
Moreno Valley, CA 92553-3081

Phone

(952) 242-2600

NPI assigned

May 11, 2007

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ajandali@direct.westerndental.com

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.

• Moreno Valley Dental Center

  • General Practice Dentistry
  • Moreno Valley, CA
  • NPI 1841485646
  NPD (past)

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271721600000",
    "number": "1518172667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10054 THORNBIRD CT",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925572854",
            "telephone_number": "951-243-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24266 POSTAL AVE",
            "address_2": "STE 100",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533081",
            "telephone_number": "952-242-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANDALI",
        "first_name": "AZZA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2010-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Jaimes
• Gricelda E James, ASSOCIATE MFT
• Katherine Ellen James
• Richard Jamil, APCC
• Amer A Jandali, M.D.
• Byron Kevin Janzen
• Ezra Jaurequi
• Jay Kyung Lee MD Apc
• Sierra D Jefferson
• Stephen Jefferson

• General Practice Dentistry in Moreno Valley, CA
• Providers in Moreno Valley, 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 Apr 20, 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.

Verify at the official NPI Registry.