Individual provider Active NPI

Saido Ozawa, DDS

  • General Practice Dentistry
  • Stockton, CA
National Provider Identifier
1821686999
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
105899 Issued in CA
Practice address
1031 Waterloo Rd
Stockton, CA 95205-4256
Phone
(209) 940-5600
NPI assigned
Jan 5, 2021
Last updated
Mar 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 105899 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X DB-2024-0072 NM

Addresses

Primary practice location

1031 Waterloo Rd
Stockton, CA 95205-4256

Mailing address

1031 Waterloo Rd
Stockton, CA 95205-4256
Phone (209) 940-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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

Enrollment IDStateProvider typePAC IDDetails
I20240617001971 NM Order and Referring Only - DentistPractitioner - Dentist 0143763375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105899CAMDSocial Worker

Interoperability endpoints

  • Direct secure messaging: sozawa835738@direct.ochin.org

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1821686999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 WATERLOO RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952054256",
            "telephone_number": "209-940-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 WATERLOO RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952054256",
            "telephone_number": "209-940-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZAWA",
        "first_name": "SAIDO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-05",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "105899",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": "DB-2024-0072",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.