NPIMap

Organization Active NPI

Maziar Izadi DDS Inc

  • Point of Service
  • Simi Valley, CA
National Provider Identifier
1770028201
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
63905 Issued in CA
Legal business name
MAZIAR IZADI DDS INC
Practice address
495 E Los Angeles Ave
Simi Valley, CA 93065
Phone
(805) 584-2228
Fax
(805) 584-0621
NPI assigned
Dec 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Authorized official

Name
Maziar Izadi, DDSNPI 1275547580
Title
DDS/Owner
Phone
(805) 584-2228

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 63905 CA Primary

Addresses

Primary practice location

495 E Los Angeles Ave
Simi Valley, CA 93065

Mailing address

495 E Los Angeles Ave
Simi Valley, CA 93065-7706
Phone (805) 584-2228

Other names 1

  • Family Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

495 E Los Angeles Ave
Simi Valley, CA 93065
Phone (805) 584-2228

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1770028201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 E LOS ANGELES AVE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930657706",
            "telephone_number": "805-584-2228",
            "fax_number": "805-584-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 E LOS ANGELES AVE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "93065",
            "telephone_number": "805-584-2228",
            "fax_number": "805-584-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAZIAR IZADI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "IZADI",
        "authorized_official_first_name": "MAZIAR",
        "authorized_official_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "805-584-2228",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "63905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.