Azarmidokht M Mahmoudi, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

56318 Issued in CA

Practice address

2819 Crow Canyon Rd Ste 104
San Ramon, CA 94583-1656

Phone

(925) 837-2225

Fax

(925) 837-3695

NPI assigned

May 9, 2008

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Azar Mahmoudi,DDS,Corp

  • Dental Clinic/Center
  • San Ramon, CA
  • NPI 1790200962
  NPD (past)

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1750558755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 CROW CANYON RD STE 104",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831656",
            "telephone_number": "925-997-5957",
            "fax_number": "925-837-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 CROW CANYON RD STE 104",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831656",
            "telephone_number": "925-837-2225",
            "fax_number": "925-837-3695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 Todd Way",
            "address_purpose": "LOCATION",
            "city": "San Ramon",
            "state": "CA",
            "postal_code": "945832828",
            "country_code": "US",
            "telephone_number": "925-556-0761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHMOUDI",
        "first_name": "AZARMIDOKHT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-09",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "56318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Balaji Mahadevan
• Alan Mahaguna
• Monishlla Maharaj
• Eileen Maher, R.D.
• Rajesh Kumar Maheshwari, MD
• Christine Shannon Mahon, M.A.
• Josef Owen Maier, PA-C
• Todd Makiyama, DDS
• Najla Elias Malak-Majdalani, O.D.
• Narendra Malani, MD

• Dentist in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.