Organization Active NPI

Negeen Zareh D M D Inc a Professional Corporation

  • General Practice Dentistry
  • Riverside, CA
National Provider Identifier
1780076034
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45071 Issued in CA
Legal business name
NEGEEN ZAREH D M D INC A PROFESSIONAL CORPORATION
Practice address
6926 Brockton Ave
Suite 3
Riverside, CA 92506-3800
Phone
(951) 784-7123
Fax
(951) 784-7126
NPI assigned
Feb 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Authorized official

Name
Mrs. Laura Barragan
Title
Insurance Biller
Phone
(951) 784-7123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 45071 CA Primary

Addresses

Primary practice location

6926 Brockton Ave
Suite 3
Riverside, CA 92506-3800

Mailing address

6926 Brockton Ave
Suite 3
Riverside, CA 92506-3800
Phone (951) 784-7123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220215002501 CA Part B Supplier - Clinic/Group Practice 9032502000 Receives reassigned benefits from 1 practitioner
Practice locations: Riverside, CA

National Provider Directory

National Provider Directory

Locations

6926 Brockton Ave
Ste 3
Riverside, CA 92506
Phone (951) 784-7123

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": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1780076034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6926 BROCKTON AVE",
            "address_2": "SUITE 3",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063800",
            "telephone_number": "951-784-7123",
            "fax_number": "951-784-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6926 BROCKTON AVE",
            "address_2": "SUITE 3",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063800",
            "telephone_number": "951-784-7123",
            "fax_number": "951-784-7126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEGEEN ZAREH D M D INC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "BARRAGAN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "INSURANCE BILLER",
        "authorized_official_telephone_number": "951-784-7123",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.