Individual provider Active NPI

Hossein Azimi, DDS

  • General Practice Dentistry
  • Torrance, CA
National Provider Identifier
1528705993
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
108822 Issued in CA
Practice address
1730 Sepulveda Blvd Ste 1
Torrance, CA 90501-6901
Phone
(310) 325-8888
NPI assigned
May 17, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D14747 MN
General Practice Dentistry 1223G0001X 108822 CA Primary

Addresses

Primary practice location

1730 Sepulveda Blvd Ste 1
Torrance, CA 90501-6901

Mailing address

5302 Plum Tree
Irvine, CA 92612-2342
Phone (716) 313-0465

Other practice location 1

1700 Highway 36 W Ste 860
Roseville, MN 55113-4102
Phone (651) 778-9911

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

State licenses

LicenseStateTypeSpecialty
108822CAMDMarriage & Family Therapist
D14747MNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sol Coehn-Sedgh, D.D.S., Inc. General Practice PastSince Apr 28, 2024 Accepting new patients
Minnesota Dental Professionals, P.C. General Practice PastSince May 1, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1528705993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5302 PLUM TREE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122342",
            "telephone_number": "716-313-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 SEPULVEDA BLVD STE 1",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905016901",
            "telephone_number": "310-325-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Highway 36 W Ste 860",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MN",
            "postal_code": "551134102",
            "country_code": "US",
            "telephone_number": "651-778-9911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZIMI",
        "first_name": "HOSSEIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-17",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14747",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "108822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.