John Aivaz, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

31890 Issued in CA

Practice address

5175 E Pacific Coast Hwy
405
Long Beach, CA 90804-3317

Phone

(562) 597-8864

Fax

(562) 597-4424

NPI assigned

Mar 9, 2007

Sex

Male

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.

• Abedi Alnatour & Bagheri Dental Corporation

  • Endodontics
  • Long Beach, CA
  • NPI 1689371932
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942332556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5175 E PACIFIC COAST HWY",
            "address_2": "405",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043317",
            "telephone_number": "562-597-8864",
            "fax_number": "562-597-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5175 E PACIFIC COAST HWY",
            "address_2": "405",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043317",
            "telephone_number": "562-597-8864",
            "fax_number": "562-597-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIVAZ",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "31890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Aiken, RDN
• Charlecia Aikins, MD
• Savannah Simone Aimerito
• Mary O Aimone, PA-C
• Diana Laura Aitamirano
• Mary Eugenia Aja, ATC
• Ajc Innovative Consulting for Wellness Inc
• Raj K Ajudia, MD
• Clara Ajungo
• Ak Homecare Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.