Active NPI
Movassaghi Dental Coorporation
- Respite Care
- Walnut Park, CA
National Provider Identifier
1780946707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- License
- 39189
- Legal business name
- MOVASSAGHI DENTAL COORPORATION
- Practice address
- 7700 S Alameda St
Walnut Park, CA 90255-3745 - Phone
- (323) 585-9200
- Fax
- (323) 585-9408
- NPI assigned
- Jun 14, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alireza Movassaghi, D.D.S
- Title
- Owner
- Phone
- (323) 585-9200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care | 385H00000X | 39189 | CA | Primary |
Addresses
Primary practice location
7700 S Alameda St
Walnut Park, CA 90255-3745
Mailing address
7700 S Alameda St
Walnut Park, CA 90255-3745
Phone (323) 585-9200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39189 | Medicaid | CA |
Other names 1
- Alameda Dental Group
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Huntington Park, CA
- NPI 1821466822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339632000000",
"number": "1780946707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7700 S ALAMEDA ST",
"city": "WALNUT PARK",
"state": "CA",
"postal_code": "902553745",
"telephone_number": "323-585-9200",
"fax_number": "323-585-9408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 S ALAMEDA ST",
"city": "WALNUT PARK",
"state": "CA",
"postal_code": "902553745",
"telephone_number": "323-585-9200",
"fax_number": "323-585-9408"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOVASSAGHI DENTAL COORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-14",
"last_updated": "2012-06-14",
"status": "A",
"authorized_official_last_name": "MOVASSAGHI",
"authorized_official_first_name": "ALIREZA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "323-585-9200",
"authorized_official_credential": "D.D.S"
},
"taxonomies": [
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "CA",
"license": "39189",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39189",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Alameda Dental Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Walnut Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.