Edwin Eshaghzadeh, MD, DDS

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

A197458 Issued in CA

Practice address

3662 Katella Ave Ste 202
Los Alamitos, CA 90720-3189

Phone

(323) 612-8164

NPI assigned

Jul 27, 2018

Sex

Male

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

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746230400000",
    "number": "1770060105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3662 KATELLA AVE STE 202",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203189",
            "telephone_number": "323-612-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3662 KATELLA AVE STE 202",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203189",
            "telephone_number": "323-612-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESHAGHZADEH",
        "first_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "MD, DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-27",
        "last_updated": "2025-05-03",
        "certification_date": "2025-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "A197458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaleena Enany, PHARMD
• Natalie Maria Escobar
• Magdalena Escobedo, C-SLPA
• Ryan Daniel Escudero, D.M.D
• Bijan Eshagh Zadeh
• Farbod Esmailian, MD
• Jay Paul Espinoza
• Erica Elena Esquivel, PT, DPT
• Essi Ca, PC
• Evangelina Estrada, MFT

• Oral & Maxillofacial Surgery (D.M.D.) in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2025; 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.