Vida Namavar D.D.S., Inc.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

VIDA NAMAVAR D.D.S., INC.

Practice address

670 W San Marcos Blvd
Suite 103
San Marcos, CA 92078-1235

Phone

(619) 850-9320

NPI assigned

Nov 2, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Vida Namavar, D.D.SNPI 1144532672

Title

Owner/DDS

Phone

(619) 850-9320

Specialties & licenses 1

Addresses

Other names 1

• Vida Family Dental Care Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vida Namavar, DDS

  • Dentist
  • San Marcos, CA
  • NPI 1144532672
  NPD (past) Authorized official

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1609205426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 W SAN MARCOS BLVD",
            "address_2": "SUITE 103",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920781235",
            "telephone_number": "619-850-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 W SAN MARCOS BLVD",
            "address_2": "SUITE 103",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920781235",
            "telephone_number": "619-850-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA NAMAVAR D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "NAMAVAR",
        "authorized_official_first_name": "VIDA",
        "authorized_official_title_or_position": "OWNER/DDS",
        "authorized_official_telephone_number": "619-850-9320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vida Family Dental Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Beatriz Vidales, DDS
• Kally Vieira, LMHC, LPCC
• Madison Vieng
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• Myia Vignola

• Dentist in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.