Individual provider Active NPI

Azar Parsafar, DMD

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1740958198
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
106234 Issued in CA
Practice address
12125 Alta Carmel CT Ste 310
San Diego, CA 92128-3892
Phone
(619) 800-4948
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 106234 CA Primary

Addresses

Primary practice location

12125 Alta Carmel CT Ste 310
San Diego, CA 92128-3892

Mailing address

12125 Alta Carmel CT Ste 310
San Diego, CA 92128-3892
Phone (858) 999-7687

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

LicenseStateTypeSpecialty
106234CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Babak Javidi DMD Inc General Practice CurrentSince May 21, 2023 Accepting new patients

Locations

12125 Alta Carmel Ct
Ste 310
San Diego, CA 92128
Phone (619) 800-4948

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.

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1740958198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12125 ALTA CARMEL CT STE 310",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283892",
            "telephone_number": "858-999-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12125 ALTA CARMEL CT STE 310",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283892",
            "telephone_number": "619-800-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSAFAR",
        "first_name": "AZAR",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.