Individual provider Active NPI

Nojan Talebzadeh, M.D., D.M.D,J.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Chula Vista, CA
National Provider Identifier
1871685164
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
42098 Issued in CA
Practice address
246 F St
Chula Vista, CA 91910-2818
Phone
(619) 420-3311
Fax
(619) 420-6645
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 42098 CA Primary
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X A64127 CA
Plastic and Reconstructive Surgery Physician 2086S0122X A64127 CA
Trauma Surgery Physician 2086S0127X A64127 CA

Addresses

Primary practice location

246 F St
Chula Vista, CA 91910-2818

Mailing address

246 F St
Chula Vista, CA 91910-2818
Phone (619) 420-3311

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040811001396 CA Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 0446222178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
University of California, San Francisco School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians

Practice addresses (Care Compare)

751 Med Ctr CT
Chula Vista, CA 91911-6617
Phone (619) 502-5800

7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-3400

Hospital & facility affiliations

  • Sharp Memorial Hospital Hospital, San Diego, CA, CCN 050100
  • Grossmont Hospital Hospital, La Mesa, CA, CCN 050026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Juris Doctor, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42098CAMDMarriage & Family Therapist
A64127CAMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Trauma Surgery Current Accepting new patients
Nojan Talebzadeh M.D.,D.M.D. Inc. Oral and Maxillofacial Surgery PastSince Jan 1, 2002 Accepting new patients

Locations

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

Interoperability endpoints

  • Direct secure messaging: ntalebzadeh81657@scrippshlth.medalliesdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1871685164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 F ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102818",
            "telephone_number": "619-420-3311",
            "fax_number": "619-420-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 F ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102818",
            "telephone_number": "619-420-3311",
            "fax_number": "619-420-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALEBZADEH",
        "first_name": "NOJAN",
        "name_prefix": "Dr.",
        "credential": "M.D., D.M.D,J.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "42098",
            "primary": true
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "CA",
            "license": "A64127",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A64127",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "CA",
            "license": "A64127",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.