Mohammad Reza Abbaszadeh - Mobile Van

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

37620 Issued in CA

Legal business name

MOHAMMAD REZA ABBASZADEH - MOBILE VAN

Practice address

8890 Cal Center Dr
Sacramento, CA 95826-3200

Phone

(916) 922-5000

Fax

(916) 646-9000

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Reza Abbaszadeh, DDS

Title

Ceo

Phone

(916) 922-5000

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851458517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8890 CAL CENTER DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958263200",
            "telephone_number": "916-922-5000",
            "fax_number": "916-646-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8890 CAL CENTER DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958263200",
            "telephone_number": "916-922-5000",
            "fax_number": "916-646-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD REZA ABBASZADEH - MOBILE VAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABBASZADEH",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-922-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "CA",
            "license": "37620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL OF CA",
            "identifier": "1637620",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY FAMILIES DELTA",
            "identifier": "B37620-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ariana Moghbel
• Sonya Mogilner
• Mohali Inc. (Elk Grove Urgent Care)
• Mohamed Elhassanin Dental Corporation
• Nigara Mohammad Asif
• Bibi Mohammad Zahir
• Khaleel Mohammad, M.D
• Pakeza Mohammad
• Sunnaa Somun Mohammad
• Aisha Mohammadi

• Public Health Dentistry in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Public Health Dentistry in California

• 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.