Active NPI
Matthew C Zandieh Vakili, D.M.D.
- Dentist
- San Jose, CA
National Provider Identifier
1619352317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 64757
- Practice address
- 460 Halsey Ave
San Jose, CA 95128-2122 - Phone
- (408) 823-6067
- NPI assigned
- Jul 23, 2015
- Last updated
- Jul 23, 2015
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 64757 | CA | Primary |
Addresses
Primary practice location
460 Halsey Ave
San Jose, CA 95128-2122
Mailing address
460 Halsey Ave
San Jose, CA 95128-2122
Phone (408) 823-6067
Other names 1
- Mr. Matthew C Vakili
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437609600000",
"number": "1619352317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 HALSEY AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282122",
"telephone_number": "408-823-6067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 HALSEY AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282122",
"telephone_number": "408-823-6067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZANDIEH VAKILI",
"first_name": "MATTHEW",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-23",
"last_updated": "2015-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "64757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MATTHEW",
"last_name": "VAKILI",
"middle_name": "C",
"prefix": "MR.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.