Alireza M Sharifzadeh, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DJ035550 Issued in CA

Practice address

460 E Pleasant Valley Rd
#B
Port Hueneme, CA 93041

Phone

(805) 488-1611

Fax

(805) 986-9406

NPI assigned

Dec 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Al Sharif Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Alireza Sharifzadeh DDS Inc

  • General Practice Dentistry
  • Port Hueneme, CA
  • NPI 1518094291
  NPD (past) Authorized official

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1891978508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 E PLEASANT VALLEY RD",
            "address_2": "#B",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "93041",
            "telephone_number": "805-488-1611",
            "fax_number": "805-986-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 E PLEASANT VALLEY RD",
            "address_2": "#B",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "93041",
            "telephone_number": "805-488-1611",
            "fax_number": "805-986-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARIFZADEH",
        "first_name": "ALIREZA",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-17",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DJ035550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AL",
            "last_name": "SHARIF",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Marites Garma Salinda
• Heidi Sarte, PHARM. D
• Seth T. Secrease, IDC
• Kosha Shah, D.D.S.
• Rutu Jignesh Shah, DDS
• Shoreline ABA
• Silver Strand Optometry Corp
• Jerry M Smith Jr., IDC
• Michelle Smith
• Steven M Smith, MA, LMFT

• General Practice Dentistry in Port Hueneme, CA
• Providers in Port Hueneme, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.