Aghaloo, DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

51184 Issued in CA

Legal business name

AGHALOO, DDS, INC.

Doing business as

Shadow Hills Dental Care

Practice address

39620 Washington St. Suite C
Palm Desert, CA 92211

Phone

(760) 343-7737

Fax

(760) 343-7682

NPI assigned

Sep 21, 2012

Last updated

Aug 30, 2018By 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

Tatum E Zappia

Title

Insurance Coordina

Phone

(760) 343-7737

Specialties & licenses 1

Addresses

Other names 1

• Shadow Hills Dental Care Doing business as

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.

• Javad Sage Aghaloo, D.D.S.

  • General Practice Dentistry
  • El Centro, CA
  • NPI 1073708582
  NPD

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535587200000",
    "number": "1831440502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39620 WASHINGTON ST. SUITE C",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "92211",
            "telephone_number": "760-343-7737",
            "fax_number": "760-343-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39620 WASHINGTON ST. SUITE C",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "92211",
            "telephone_number": "760-343-7737",
            "fax_number": "760-343-7682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGHALOO, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-21",
        "last_updated": "2018-08-30",
        "status": "A",
        "authorized_official_last_name": "ZAPPIA",
        "authorized_official_first_name": "TATUM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "INSURANCE COORDINA",
        "authorized_official_telephone_number": "760-343-7737"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shadow Hills Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Advanced Women's Healthcare, a Medical Corporation
• Crystabel Afwireng
• Sameeha Agbaje
• Daniela Agnew, PA-C
• Arianna D Aguilar, HIGH SCHOOL DIPLOMA
• Marcela Aguilera Camacho
• Sohail S Ahmad, MD
• Harris Ahmed, DO, MPH

• General Practice Dentistry in Palm Desert, CA
• Providers in Palm Desert, 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 Aug 30, 2018; 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.