Organization Active NPI

Azizi Dental Corporation

  • Dentist
  • Gardena, CA
National Provider Identifier
1841399508
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39939 Issued in CA
Legal business name
AZIZI DENTAL CORPORATION
Practice address
14011 S Van Ness Ave
Gardena, CA 90249
Phone
(310) 327-0404
Fax
(310) 327-1426
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Joseph Azizi, DMDNPI 1992804652
Title
Dr
Phone
(310) 327-0404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 39939 CA Primary

Addresses

Primary practice location

14011 S Van Ness Ave
Gardena, CA 90249

Mailing address

14011 S Van Ness Ave
Gardena, CA 90249
Phone (310) 327-0404

Other names 1

  • Family Dentistry and Orthodontics Other name

National Provider Directory

National Provider Directory

Locations

14011 Van Ness Ave
Gardena, CA 90249
Phone (310) 327-0404

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841399508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14011 S VAN NESS AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "90249",
            "telephone_number": "310-327-0404",
            "fax_number": "310-327-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14011 S VAN NESS AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "90249",
            "telephone_number": "310-327-0404",
            "fax_number": "310-327-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZIZI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AZIZI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "310-327-0404",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "39939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dentistry and Orthodontics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.