Individual provider Active NPI

Abbas Hariri, DDS

  • General Practice Dentistry
  • Carson, CA
National Provider Identifier
1780753954
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38008 Issued in CA
Practice address
550 E del Amo Blvd
Carson, CA 90746-3314
Phone
(310) 515-5672
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 38008 CA Primary

Addresses

Primary practice location

550 E del Amo Blvd
Carson, CA 90746-3314

Mailing address

PO Box 51013
Irvine, CA 92619-1013
Phone (949) 733-8248

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160518002522 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5799074431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780753954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51013",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926191013",
            "telephone_number": "949-733-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E DEL AMO BLVD",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463314",
            "telephone_number": "310-515-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARIRI",
        "first_name": "ABBAS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

Verify at the official NPI Registry.