Active NPI
Arman Majidi, DMD
- Dentist
- San Diego, CA
National Provider Identifier
1861906307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS102085
- Practice address
- 718 W Washington St
San Diego, CA 92103-1938 - Phone
- (619) 699-9008
- Fax
- (619) 295-1574
- NPI assigned
- Nov 20, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7010 | OK | |
| Dentist | 122300000X | DDS102085 | CA | Primary |
Addresses
Primary practice location
718 W Washington St
San Diego, CA 92103-1938
Mailing address
718 W Washington St
San Diego, CA 92103-1938
Phone (619) 699-9008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861906307 | Medicaid | CA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS102085 | CA | MD | Dentist |
| 7010 | OK | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Salud de la Comunidad de San Ysidro, Inc. | Current | Accepting new patients | |
| Centro de Salud de la Comunidad de San Ysidro Inc | Current | Accepting new patients | |
| Centro de Salud de la Comunidad de San Ysidro Inc | Current | Accepting new patients | |
| Okc Dental Health Associates, P.C. | Past | Accepting new patients | |
| Babak Ariannejad and Lance Rygg Dental Corporation | Dentist | Past | Accepting new patients |
Locations
1637 Third Ave
Ste B
Chula Vista, CA 91911
Phone (619) 425-1780
1136 D Ave
National City, CA 91950
Phone (619) 336-2300
1601 Precision Park Ln
San Ysidro, CA 92173
Phone (619) 205-4585
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1124782685
-
- Federally Qualified Health Center (FQHC)
- Chula Vista, CA
- NPI 1023608601
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1457033813
-
- Dentist
- San Diego, CA
- NPI 1457748303
-
- General Practice Dentistry
- Muskogee, OK
- NPI 1154741023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574035200000",
"number": "1861906307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 W WASHINGTON ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921031938",
"telephone_number": "619-699-9008",
"fax_number": "619-295-1574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 W WASHINGTON ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921031938",
"telephone_number": "619-699-9008",
"fax_number": "619-295-1574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAJIDI",
"first_name": "ARMAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-20",
"last_updated": "2019-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "7010",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS102085",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1861906307",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.