NPIMap

Organization Active NPI

Jay M Azling Apdc

  • Dentist
  • Cerritos, CA
National Provider Identifier
1770612798
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DJ036221 Issued in CA
Legal business name
JAY M AZLING APDC
Practice address
12622 E South Street
Cerritos, CA 90703
Phone
(562) 865-0517
Fax
(562) 865-9697
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Carla Anne Azling
Title
Business Manager
Phone
(714) 814-8587

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DJ036221 CA Primary

Addresses

Primary practice location

12622 E South Street
Cerritos, CA 90703

Mailing address

12622 E South Street
Cerritos, CA 90703
Phone (562) 865-0517

Other names 1

  • Jay M Azling DDS and Associates Doing business as

National Provider Directory

National Provider Directory

Locations

12622 South St
Cerritos, CA 90703
Phone (562) 865-0517

Practitioners & affiliated clinicians

Practitioners 2

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": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770612798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12622 E SOUTH STREET",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "90703",
            "telephone_number": "562-865-0517",
            "fax_number": "562-865-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12622 E SOUTH STREET",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "90703",
            "telephone_number": "562-865-0517",
            "fax_number": "562-865-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY M AZLING APDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AZLING",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "714-814-8587",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "DJ036221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jay M Azling DDS and Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.