Active NPI
Rokhsar Eizadi, DDS
- Dentist
- Del Mar, CA
National Provider Identifier
1720273691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 55675
- Practice address
- 318 9TH St Ste C
Del Mar, CA 92014-2805 - Phone
- (858) 259-9129
- NPI assigned
- Sep 13, 2007
- Last updated
- Apr 8, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 55675 | CA | Primary |
Addresses
Primary practice location
318 9TH St Ste C
Del Mar, CA 92014-2805
Mailing address
7190 Shoreline Dr Unit 6304
San Diego, CA 92122-4927
Phone (858) 412-4725
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
| License | State | Type | Specialty |
|---|---|---|---|
| 55675 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239148800000",
"number": "1720273691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7190 SHORELINE DR UNIT 6304",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921224927",
"telephone_number": "858-412-4725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 9TH ST STE C",
"city": "DEL MAR",
"state": "CA",
"postal_code": "920142805",
"telephone_number": "858-259-9129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EIZADI",
"first_name": "ROKHSAR",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-13",
"last_updated": "2009-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "55675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Del Mar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.