Individual provider Active NPI

Hamid Nadi, DDS

  • General Practice Dentistry
  • Montebello, CA
National Provider Identifier
1760578769
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50650 Issued in CA
Practice address
3301 W. Beverly Blvd.
Montebello, CA 90640-1536
Phone
(323) 722-6766
Fax
(323) 722-2022
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 50650 CA
General Practice Dentistry 1223G0001X 50650 CA Primary

Addresses

Primary practice location

3301 W. Beverly Blvd.
Montebello, CA 90640-1536

Mailing address

3301 W. Beverly Blvd.
Montebello, CA 90640-1536
Phone (323) 722-6766

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
50650CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dianatyazdi & Nadi Professional Dental Corporation General Practice Current Accepting new patients
Hamid R. Nadi DDS Inc General Practice Current Accepting new patients

Locations

3301 W Beverly Blvd
Montebello, CA 90640
Phone (323) 722-6766

Organizations & group practices 2

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1760578769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 W. BEVERLY BLVD.",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906401536",
            "telephone_number": "323-722-6766",
            "fax_number": "323-722-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 W. BEVERLY BLVD.",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906401536",
            "telephone_number": "323-722-6766",
            "fax_number": "323-722-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADI",
        "first_name": "HAMID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "50650",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.