Pardis Jonathan Vakili, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

107909 Issued in CA

Practice address

2995 Clairemont Dr Ste a
San Diego, CA 92117-6766

Phone

(858) 200-0827

NPI assigned

Sep 12, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Huynh and Habashi Dental Corporation

  dba Bay Park Dentistry Dental Group

  • Dentist
  • San Diego, CA
  • NPI 1801341813
  NPD (past)

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1669193272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 ERIE ST UNIT 7",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921103352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 CLAIREMONT DR STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176766",
            "telephone_number": "858-200-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAKILI",
        "first_name": "PARDIS",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "107909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leticia Vajda
• Vakas Sial MD Inc
• Bhoomika Vakharia, FNP
• Sarah Vakharia, M.ED., ED.S., LEP
• Arman Vakili
• Sharmineh Vakili
• Shaghayegh Vakilian, DDS
• Siavosh Vakilian, MD
• Val Waian Family Therapy, Inc
• Valadez Dental Corp (Smile San Diego)

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.