Active NPI
Alen Zargar
- General Practice Dentistry
- El Monte, CA
National Provider Identifier
1588448716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 109122
- Practice address
- 10728 Ramona Blvd
El Monte, CA 91731-2601 - Phone
- (855) 618-0006
- NPI assigned
- Aug 21, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 109122 | CA | Primary |
Addresses
Primary practice location
10728 Ramona Blvd
El Monte, CA 91731-2601
Mailing address
324 S Beverly Dr # 1042
Beverly Hills, CA 90212-4822
Phone (310) 999-1328
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 |
|---|---|---|---|---|
| I20251020001343 | CA | Order and Referring Only - Dentist | 5698263911 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109122 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1588448716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 S BEVERLY DR # 1042",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902124822",
"telephone_number": "310-999-1328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10728 RAMONA BLVD",
"city": "EL MONTE",
"state": "CA",
"postal_code": "917312601",
"telephone_number": "855-618-0006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZARGAR",
"first_name": "ALEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-21",
"last_updated": "2023-08-21",
"certification_date": "2023-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "109122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Monte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.