Kimia Azizi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

107944 Issued in CA

Practice address

5139 Balboa Blvd Unit 16
Encino, CA 91316-3470

Phone

(818) 926-8356

NPI assigned

Aug 31, 2022

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1760102529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5139 BALBOA BLVD UNIT 16",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5139 BALBOA BLVD UNIT 16",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163470",
            "telephone_number": "818-926-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIZI",
        "first_name": "KIMIA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "107944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azalea Home Health Inc
• Sadaf Azami, MA, BCBA
• Daniel Azani, D.D.S., M.S.
• Azin Barzegar DMD Inc
• Ali M Azizi, MD
• Katrin a Azizzadeh, DDS
• Mary Azoian, DC
• Sarah Azoulay, AMFT
• B Abadi DMD Inc
• B. David Massaband DPM Inc

• Dentist in Encino, CA
• Providers in Encino, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.