Organization Active NPI

Hamid C Hajarian MD Inc

  • Oral and Maxillofacial Surgery Clinic/Center
  • Fountain Valley, CA
National Provider Identifier
1821150046
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
A68648 Issued in CA
Legal business name
HAMID C HAJARIAN MD INC
Practice address
11100 Warner Ave Ste 370
Fountain Valley, CA 92708-7514
Phone
(714) 540-1191
Fax
(714) 540-0470
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Authorized official

Name
Dr. Hamid C Hajarian, M.D. , D.D.S.
Title
Owner
Phone
(714) 540-1191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X A68648 CA Primary

Addresses

Primary practice location

11100 Warner Ave Ste 370
Fountain Valley, CA 92708-7514

Mailing address

11100 Warner Ave Ste 370
Fountain Valley, CA 92708-7514
Phone (714) 540-1191

Other names 1

  • DAVINCI SURGICAL Other name

National Provider Directory

National Provider Directory

Locations

11100 Warner Ave
Ste 370
Fountain Vly, CA 92708
Phone (714) 540-1191

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1821150046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE STE 370",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087514",
            "telephone_number": "714-540-1191",
            "fax_number": "714-540-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE STE 370",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087514",
            "telephone_number": "714-540-1191",
            "fax_number": "714-540-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMID C HAJARIAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "HAJARIAN",
        "authorized_official_first_name": "HAMID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-540-1191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. , D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "A68648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAVINCI SURGICAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.