Active NPI
Azin Zamani, DDS
- Dentist
- Laguna Niguel, CA
National Provider Identifier
1588046049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS103682
- Practice address
- 27901 La Paz Rd Ste D
Laguna Niguel, CA 92677-3932 - Phone
- (949) 389-9195
- NPI assigned
- Jun 22, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 21707 | FL | |
| Dentist | 122300000X | 30982 | TX | |
| Dentist | 122300000X | DDS103682 | CA | Primary |
Addresses
Primary practice location
27901 La Paz Rd Ste D
Laguna Niguel, CA 92677-3932
Mailing address
60 Orange Blossom
Irvine, CA 92618
Phone (210) 289-1699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190813002807 | CA | Order and Referring Only - Dentist | 0840527875 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS103682 | CA | MD | Dentist |
| 21707 | FL | MD | Dentist |
| 30982 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharifian Professional Dental Corporation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Laguna Niguel, CA
- NPI 1770676967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561075200000",
"number": "1588046049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 ORANGE BLOSSOM",
"city": "IRVINE",
"state": "CA",
"postal_code": "92618",
"telephone_number": "210-289-1699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27901 LA PAZ RD STE D",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926773932",
"telephone_number": "949-389-9195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAMANI",
"first_name": "AZIN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-22",
"last_updated": "2019-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "21707",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "30982",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS103682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Niguel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.