Active NPI
Hamid C Hajarian MD Inc
- Oral and Maxillofacial Surgery Clinic/Center
- Fountain Valley, CA
National Provider Identifier
1821150046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery Clinic/Center
- License
- A68648
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.