Afshin Habashi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43789 Issued in CA

Practice address

10405 Tierrasanta Blvd
San Diego, CA 92124-2603

Phone

(858) 492-9300

Fax

(858) 492-9332

NPI assigned

Jul 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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 and National Provider Directory roles.

• Afshar and Habashi Dental Corporation

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1033217526
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1710908660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7956 ENTRADA LAZANJA",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921273620",
            "telephone_number": "702-338-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10405 TIERRASANTA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921242603",
            "telephone_number": "858-492-9300",
            "fax_number": "858-492-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABASHI",
        "first_name": "AFSHIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "3207",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506196",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "1671512",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clare Marie Haas, MD
• Gerald R. Haas, M.D.
• Korianne A Haas, M.D.
• Michelle Elizabeth Haas
• Richard Harold Haas, M.D.
• Mirabelle Camille Habbaba, PHARMD
• Rhonda Summer Habbal
• Elfadil Mawia Habbani
• Victoria Elizabeth Habel, RN, BSN
• Danielle Anne Haber, M.D.

• 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 Nov 19, 2009; 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.