Morris Azad DDS Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

39932 Issued in CA

Legal business name

MORRIS AZAD DDS INC.

Practice address

1104 San Fernando Rd
San Fernando, CA 91340-3210

Phone

(818) 361-6900

Fax

(818) 837-8569

NPI assigned

Jun 19, 2007

Last updated

Mar 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Morris Azad, DDSNPI 1992886279

Title

President

Phone

(818) 361-6900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Morris Akhamzadeh DMD inc. Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Morris Azad, DDS

  • Dentist
  • San Fernando, CA
  • NPI 1992886279
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1811192701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 SAN FERNANDO RD",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913403210",
            "telephone_number": "818-361-6900",
            "fax_number": "818-837-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 SAN FERNANDO RD",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913403210",
            "telephone_number": "818-361-6900",
            "fax_number": "818-837-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS AZAD DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "AZAD",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-361-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "39932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B39932-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morris Akhamzadeh DMD inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Yolanda Moran
• Emely Moreno
• Mayra Moreno
• Patricia Moreno, RN
• Roxanna Moreno, RBT
• Kim Denise Morrow Bell, LMFT
• Armine Movsesyan, PHARM.D.
• Jacqueline Munoz, RDH
• Natalia Murillo
• Guiouzel Nabieva, M.D.

• Dentist in San Fernando, CA
• Providers in San Fernando, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.