Hamid Reza

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

41307 Issued in CA

Practice address

8540 Reseda Blvd # 101
Northridge, CA 91324-4628

Phone

(818) 701-6667

Fax

(818) 701-0418

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Dentist

Education

Other, 1979

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• H Reza a Dental Corporation

  • General Practice Dentistry
  • Northridge, CA
  • NPI 1659309300
  Medicare reassignment NPD Authorized official
• H. Reza a Dental Corporation

  dba Hamlin Dental Group

  • General Practice Dentistry
  • Van Nuys, CA
  • NPI 1164883328
  NPD (past) Authorized official
• H. Reza Shahmohammadi, a Dental Corporation

  dba Hamlin Dental Group

  • Clinic/Center
  • Van Nuys, CA
  • NPI 1700941655
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1801827001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 RESEDA BLVD # 101",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244628",
            "telephone_number": "818-701-6667",
            "fax_number": "818-701-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 RESEDA BLVD # 101",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244628",
            "telephone_number": "818-701-6667",
            "fax_number": "818-701-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZA",
        "first_name": "HAMID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "B41307-02",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Renee Reyes
• Odette Reyes
• Victoria Reyes
• Charles Andrew Reynolds, PHARM.D., B.C.P.P.
• Reza Bonabi MD, Inc
• Martha Ruth Reza, PH. D.
• Sahar Rezvani, D.D.S
• Doris Rezvanpour, PHARM D
• Hanna X Rhee, ACUPUNCTURE LAC
• Milena Ribeiro

• General Practice Dentistry in Northridge, CA
• Providers in Northridge, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.