Peter Zahedi I, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48069 Issued in CA

Practice address

905 Lincoln Ave
San Rafael, CA 94901-3331

Phone

(415) 453-1241

Fax

(415) 453-2056

NPI assigned

Mar 16, 2010

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

Other names 1

• Dr. Peter Zahedi I Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1740504059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 LINCOLN AVE",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013331",
            "telephone_number": "415-453-1241",
            "fax_number": "415-453-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 LINCOLN AVE",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013331",
            "telephone_number": "415-453-1241",
            "fax_number": "415-453-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAHEDI",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-16",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETER",
            "last_name": "ZAHEDI",
            "prefix": "DR.",
            "suffix": "I",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Summer Youngblood
• Youth Transforming Justice
• Caleb Yu
• David Yu, PHARM.D.
• Jandy Thalia Zacarias-de Leon Lopez
• Kristen Zaier, R.D.
• Catharine Shuster Zane, MFT
• Marvin Zauderer, LMFT
• Antonio Zavala, RADT
• Layla Mary Zeidan

• General Practice Dentistry in San Rafael, CA
• Providers in San Rafael, 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 Mar 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.