Individual provider Active NPI

Aviel Gaft, DMD

  • General Practice Dentistry
  • Santa Clarita, CA
National Provider Identifier
1922795426
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
109025 Issued in CA
Practice address
23005 Soledad Canyon Rd
Santa Clarita, CA 91350-2635
Phone
(818) 398-3523
NPI assigned
Apr 24, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 109025 CA Primary

Addresses

Primary practice location

23005 Soledad Canyon Rd
Santa Clarita, CA 91350-2635

Mailing address

6225 Sandwood Way
Palmdale, CA 93552-3438
Phone (818) 398-3523

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
I20231017003176 CA Order and Referring Only - DentistPractitioner - Dentist 0547615122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109025CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1922795426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6225 SANDWOOD WAY",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935523438",
            "telephone_number": "818-398-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23005 SOLEDAD CANYON RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913502635",
            "telephone_number": "818-398-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAFT",
        "first_name": "AVIEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-24",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "109025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.