Active NPI
Aziza Awnallah, DMD/ DDS
- Dentist
- Fremont, CA
National Provider Identifier
1730853664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS106625
- Practice address
- 38056 Martha Ave
Fremont, CA 94536-3809 - Phone
- (510) 505-9453
- NPI assigned
- Aug 4, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DDS106625 | CA | Primary |
Addresses
Primary practice location
38056 Martha Ave
Fremont, CA 94536-3809
Mailing address
194 Beverly St
San Francisco, CA 94132-2615
Phone (510) 283-4662
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 |
|---|---|---|---|
| DDS106625 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628035200000",
"number": "1730853664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "194 BEVERLY ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941322615",
"telephone_number": "510-283-4662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38056 MARTHA AVE",
"city": "FREMONT",
"state": "CA",
"postal_code": "945363809",
"telephone_number": "510-505-9453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AWNALLAH",
"first_name": "AZIZA",
"credential": "DMD/ DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-04",
"last_updated": "2021-08-04",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS106625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.