Homayoun Ardjmand, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

39129 Issued in CA

Practice address

9280 Mast Blvd
Santee, CA 92071-2150

Phone

(619) 443-8447

NPI assigned

Jan 30, 2009

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

Other identifiers 1

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

State licenses

Practice roles

Locations

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.

• Homayoun Ardjmand, DDS, Inc.

  • General Practice Dentistry
  • Santee, CA
  • NPI 1740347178
  NPD Authorized official

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1942448865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9280 MAST BLVD",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920712150",
            "telephone_number": "619-443-8447",
            "fax_number": "619-443-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9280 MAST BLVD",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920712150",
            "telephone_number": "619-443-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARDJMAND",
        "first_name": "HOMAYOUN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-30",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "39129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "D39129",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Patrick Anderson, PHARMD
• Teresita Corpus Angel
• Dianne Aquino Tungol, RN
• Grace Palisoc Aquino
• Maria Inez Domingo Aquitania
• Jose Manuel Arellano, L.V.N
• Mario A. Arellano, O.D.
• Azzah I Arikat, MD
• Tamantha Sue Arlata, M.D.
• Asap Medical Supply

• Dentist in Santee, CA
• Providers in Santee, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.