Active NPI
Aminollah T Bagheri, DDS
- Pediatric Dentistry
- Oceanside, CA
National Provider Identifier
1659338523
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Nov 20, 2024.
- Section 1128a(1) exclusion effective Nov 19, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 56340
- Practice address
- 3142 Vista Way Ste 305
Oceanside, CA 92056 - Phone
- (760) 529-9820
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 051522-1 | NY | |
| Pediatric Dentistry | 1223P0221X | 56340 | CA | Primary |
Addresses
Primary practice location
3142 Vista Way Ste 305
Oceanside, CA 92056
Mailing address
3142 Vista Way Ste 305
Oceanside, CA 92056-3629
Phone (760) 529-9820
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051522-1 | NY | MD | General Practice Dentistry |
| 56340 | CA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298937600000",
"number": "1659338523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3142 VISTA WAY STE 305",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920563629",
"telephone_number": "760-529-9820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3142 VISTA WAY STE 305",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "92056",
"telephone_number": "760-529-9820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGHERI",
"first_name": "AMINOLLAH",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2011-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "051522-1",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "56340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.