Jamshid Azizzadeh, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

39228 Issued in CA

Practice address

15030 Whittier Blvd. #106
Whittier, CA 90603

Phone

(562) 789-8989

Fax

(562) 789-8699

NPI assigned

Jul 15, 2013

Last updated

Jul 15, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jamshid Azizzadeh DDS Inc

  • Dentist
  • Whittier, CA
  • NPI 1982715173
  NPD (past)

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1730520024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15030 WHITTIER BLVD. #106",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90603",
            "telephone_number": "562-789-8989",
            "fax_number": "562-789-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15030 WHITTIER BLVD. #106",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90603",
            "telephone_number": "562-789-8989",
            "fax_number": "562-789-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIZZADEH",
        "first_name": "JAMSHID",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "39228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Whittier, CA
• Providers in Whittier, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.