Organization Active NPI

Cima Mazar-Atabaki DMD Inc

  • Pediatric Dentistry
  • Aliso Viejo, CA
National Provider Identifier
1518325117
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
58241 Issued in CA
Legal business name
CIMA MAZAR-ATABAKI DMD INC
Practice address
24541 Pacific Park Dr
Suite #104
Aliso Viejo, CA 92656-3065
Phone
(310) 985-0418
NPI assigned
Feb 10, 2016
Last updated
Mar 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Authorized official

Name
Dr. Cima Mazar-Atabaki, DMDNPI 1306075825
Title
President/Pediatric Dentist
Phone
(310) 985-0418

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 58241 CA Primary

Addresses

Primary practice location

24541 Pacific Park Dr
Suite #104
Aliso Viejo, CA 92656-3065

Mailing address

24541 Pacific Park Dr
Suite #104
Aliso Viejo, CA 92656-3065
Phone (310) 985-0418

National Provider Directory

National Provider Directory

Locations

24541 Pacific Park Dr
Ste 104
Aliso Viejo, CA 92656
Phone (949) 362-9860

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1518325117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24541 PACIFIC PARK DR",
            "address_2": "SUITE #104",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563065",
            "telephone_number": "310-985-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24541 PACIFIC PARK DR",
            "address_2": "SUITE #104",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563065",
            "telephone_number": "310-985-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIMA MAZAR-ATABAKI DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "MAZAR-ATABAKI",
        "authorized_official_first_name": "CIMA",
        "authorized_official_title_or_position": "PRESIDENT/PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "310-985-0418",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "58241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.