Seaside Oral Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

SEASIDE ORAL SURGERY

Practice address

105 Durian St Ste C
Vista, CA 92083-6240

Phone

(949) 510-7795

NPI assigned

Jun 8, 2021

Organization subpart

No

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

Authorized official

Name

Ali Amrollahie, DMDNPI 1588001218

Title

General Partner

Phone

(949) 510-7795

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ali Amrollahie, DMD, MS

  • Oral and Maxillofacial Surgery (Dentist)
  • Vista, CA
  • NPI 1588001218
  NPD Authorized official

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1740857812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E 1ST ST # 698",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 DURIAN ST STE C",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836240",
            "telephone_number": "949-510-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "AMROLLAHIE",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "949-510-7795",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scripps Health
• SD Elite Physical Therapy
• SD Elite Physical Therapy
• Robert Seal, PT
• William A Searcy, MD
• Abbas Sedaghat, M.D.
• Bruno Seemann, MD
• Mamie Sarpoma Sefa Boakye, M.D.
• Angela Lynn Segovia, PA-C
• Maria Eugenia Segura, RDH

• Oral and Maxillofacial Surgery (Dentist) in Vista, CA
• Providers in Vista, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.

Verify at the official NPI Registry.