Individual provider Active NPI

Azadeh Ashtiany, D.D.S.

  • General Practice Dentistry
  • Downey, CA
National Provider Identifier
1639508278
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
63011 Issued in CA
Practice address
8077 Florence Ave
101
Downey, CA 90240-3826
Phone
(562) 381-2442
Fax
(888) 977-3635
NPI assigned
Nov 4, 2013
Last updated
Nov 5, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 63011 CA Primary

Addresses

Primary practice location

8077 Florence Ave
101
Downey, CA 90240-3826

Mailing address

8077 Florence Ave
101
Downey, CA 90240-3826
Phone (562) 381-2442

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200117000211 CA Practitioner - Oral SurgeryPractitioner - Dentist 3476987546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63011CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sadeghein Pro Endo Dental Group Inc PastSince Oct 20, 2024 Accepting new patients
Ahmad Sadeghein DDS Inc PastSince Dec 15, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: aashtiany@direct.westerndental.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1639508278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8077 FLORENCE AVE",
            "address_2": "101",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902403826",
            "telephone_number": "562-381-2442",
            "fax_number": "888-977-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8077 FLORENCE AVE",
            "address_2": "101",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902403826",
            "telephone_number": "562-381-2442",
            "fax_number": "888-977-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHTIANY",
        "first_name": "AZADEH",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.