Mina Eftekhari Rizi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

57795 Issued in CA

Practice address

4301 Atlantic Ave Ste 4
Long Beach, CA 90807-2833

Phone

(562) 426-9308

Fax

(562) 426-9300

NPI assigned

Nov 6, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ezydental

  • General Practice Dentistry
  • Long Beach, CA
  • NPI 1376925354
  NPD (past) Authorized official

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1861646689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 ATLANTIC AVE STE 4",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072833",
            "telephone_number": "562-426-9308",
            "fax_number": "562-426-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 ATLANTIC AVE STE 4",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072833",
            "telephone_number": "562-426-9308",
            "fax_number": "562-426-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFTEKHARI RIZI",
        "first_name": "MINA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-06",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "57795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Edwards
• Lorenzo Edwards
• Marilyn Jean Edwards, M.S. CCCSLP
• Pamela Sue Edwards, MCW
• Taelor Ashley Louise Edwards
• Richard Stuart Egan, M.D.
• La Lonnie Egans
• Uchenna O Egbuho
• Blessed Egerega
• Soroush Najafabadi Eghterafi, HEARING AID DISPENSE

• Dentist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.