Payam Barzivand, D.D.S., Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

54590 Issued in CA

Legal business name

PAYAM BARZIVAND, D.D.S., INC.

Doing business as

Affordable Gentle Dental

Practice address

6600A Van Nuys Blvd
Van Nuys, CA 91405-4617

Phone

(818) 782-5020

Fax

(818) 782-2454

NPI assigned

Mar 11, 2011

Last updated

Mar 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Payam Barzivand, DDSNPI 1760678270

Title

President

Phone

(818) 782-5020

Specialties & licenses 1

Addresses

Other names 1

• Affordable Gentle Dental Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Payam Barzivand, D.D.S.

  • Dentist
  • Van Nuys, CA
  • NPI 1760678270
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1629376827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600A VAN NUYS BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054617",
            "telephone_number": "818-782-5020",
            "fax_number": "818-782-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600A VAN NUYS BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054617",
            "telephone_number": "818-782-5020",
            "fax_number": "818-782-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYAM BARZIVAND, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "BARZIVAND",
        "authorized_official_first_name": "PAYAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-782-5020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "54590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Gentle Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jack Patterson, M.D.
• Kasanu Patthanadettrakul
• Daisha Patton
• Frances Pauken
• Marissa Pavone
• Payam Marouni MD, Inc
• Brenda Payan
• Payman P. Joseph MD, a.P.C. (Van Nuys Womens Care Medical Center)
• Milton La Von Payne, D.C.
• Michael Paz

• Dentist in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.