Active NPI
Farhad Mazi, D.D.S.
- General Practice Dentistry
- Apple Valley, CA
National Provider Identifier
1730244476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 48832
- Practice address
- 19190 US Highway 18
Suite a
Apple Valley, CA 92307-2558 - Phone
- (760) 242-7753
- Fax
- (760) 946-1122
- NPI assigned
- Dec 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 48832 | CA | Primary |
Addresses
Primary practice location
19190 US Highway 18
Suite a
Apple Valley, CA 92307-2558
Mailing address
19190 US Highway 18
Suite a
Apple Valley, CA 92307-2558
Phone (760) 242-7753
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D48832 | Medicaid | CA | |
| G92354-(01,02,03) | Medicaid | CA |
Other names 1
- Frank Mazi
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48832 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Farhad Mazi, DDS, a Professional Corporation | 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.
-
- Dental Clinic/Center
- Huntington Beach, CA
- NPI 1457834467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1730244476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19190 US HIGHWAY 18",
"address_2": "SUITE A",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923072558",
"telephone_number": "760-242-7753",
"fax_number": "760-946-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19190 US HIGHWAY 18",
"address_2": "SUITE A",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923072558",
"telephone_number": "760-242-7753",
"fax_number": "760-946-1122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZI",
"first_name": "FARHAD",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-22",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "48832",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D48832",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G92354-(01,02,03)",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "FRANK",
"last_name": "MAZI",
"credential": "D.D.S., APC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Apple Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.