Individual provider Active NPI

Hamid Reza Ostadaghai, DDS

  • Dentist
  • Torrance, CA
National Provider Identifier
1689948531
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
46316 Issued in CA
Practice address
1730 Sepulveda Blvd Ste 1
#1
Torrance, CA 90501-6901
Phone
(310) 325-8888
Fax
(310) 325-3024
NPI assigned
Feb 23, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 46316 CA Primary

Addresses

Primary practice location

1730 Sepulveda Blvd Ste 1
#1
Torrance, CA 90501-6901

Mailing address

1730 Sepulveda Blvd Ste 1
#1
Torrance, CA 90501-6901
Phone (310) 325-8888

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

State licenses

LicenseStateTypeSpecialty
46316CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sol Coehn-Sedgh, D.D.S., Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1689948531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 SEPULVEDA BLVD STE 1",
            "address_2": "#1",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905016901",
            "telephone_number": "310-325-8888",
            "fax_number": "310-325-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 SEPULVEDA BLVD STE 1",
            "address_2": "#1",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905016901",
            "telephone_number": "310-325-8888",
            "fax_number": "310-325-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTADAGHAI",
        "first_name": "HAMID",
        "middle_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "46316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.