Organization Active NPI

Ascarzadeh Dental Group

  • Dentist
  • Tustin, CA
National Provider Identifier
1609551944
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ASCARZADEH DENTAL GROUP
Practice address
13771 Newport Ave Ste 11
Tustin, CA 92780-4692
Phone
(205) 515-6666
NPI assigned
Jun 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Authorized official

Name
Dr. Gholamabbas Ascarzadeh, DMD
Title
President/Owner
Phone
(205) 515-6666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

13771 Newport Ave Ste 11
Tustin, CA 92780-4692

Mailing address

PO Box 61954
Irvine, CA 92602-6065
Phone (205) 515-6666

Other practice location 1

68 Rotunda
Irvine, CA 92620-2242
Phone (205) 515-6666

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1609551944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61954",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926026065",
            "telephone_number": "205-515-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13771 NEWPORT AVE STE 11",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804692",
            "telephone_number": "205-515-6666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Rotunda",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926202242",
            "country_code": "US",
            "telephone_number": "205-515-6666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASCARZADEH DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "ASCARZADEH",
        "authorized_official_first_name": "GHOLAMABBAS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "205-515-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.