David A Abazari, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

106533 Issued in CA

Practice address

1704 Miramonte Ave Ste 91704
Mountain View, CA 94040-3766

Phone

(650) 282-5758

NPI assigned

Jun 8, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Saman Mlakmi DMD.

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  • Fullerton, CA
  • NPI 1780148114
  NPD (past)

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

{
    "created_epoch": "1559952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1639738149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 FAENZA",
            "city": "NEWPORT COAST",
            "state": "CA",
            "postal_code": "926571601",
            "telephone_number": "949-400-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 MIRAMONTE AVE STE 91704",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403766",
            "telephone_number": "650-282-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABAZARI",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-08",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "106533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Fullerton",
            "affiliation": "N",
            "address_1": "1950 E Chapman Ave Ste 1",
            "city": "Fullerton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928314141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• A-1 Value Optical
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• Maryam Abdurahimova
• Keith M. Abe, DDS
• Abhishek Choudhary MD, Gastroenterology, PC

• All providers in Mountain View, CA
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.