Diagdental Professional Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DIAGDENTAL PROFESSIONAL CORPORATION

Doing business as

SAN CITY DENTAL CLINIC

Practice address

523 E San Ysidro Blvd
San Diego, CA 92173-3110

Phone

(858) 263-6494

NPI assigned

Feb 17, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Paul Bayat, DDSNPI 1902964836

Title

President

Phone

(949) 370-0739

Specialties & licenses 1

Addresses

Other names 1

• SAN CITY DENTAL CLINIC Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Bayat, D.D.S.

  • General Practice Dentistry
  • El Cajon, CA
  • NPI 1902964836
  NPD Authorized official

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1689329740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 E SAN YSIDRO BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921733110",
            "telephone_number": "949-370-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 E SAN YSIDRO BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921733110",
            "telephone_number": "858-263-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGDENTAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "BAYAT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-370-0739",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DIAGDENTAL.COM",
            "affiliation": "N",
            "endpointDescription": "BUSINESS  WEBSITE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "WEBSITE",
            "address_1": "523 E San Ysidro Blvd",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921733110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SAN CITY DENTAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory Christopher Di Rocco, MD
• William Joseph Di Zinno, DMD
• Vivian Lynn Di
• Mahdi Diab, MD
• Svetlana Diachenko
• Diagnomics Inc
• Diagnomics Lab
• Diagnostic Health Corporation
• Diagnostic Health Corporation
• Diagnostic Services Inc

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.