Ali Jazayeri DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ALI JAZAYERI DDS INC

Practice address

106 S Ola Vista
San Clemente, CA 92672-4037

Phone

(949) 481-2540

Fax

(949) 481-2544

NPI assigned

Sep 10, 2018

Last updated

Sep 10, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ali John Jazayeri, DDSNPI 1174748123

Title

Dentist/President

Phone

(949) 481-2540

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ali John Jazayeri, D.D.S.

  • General Practice Dentistry
  • Santa Ana, CA
  • NPI 1174748123
  NPD Authorized official
• Dusanka Petkovic, DDS

  • General Practice Dentistry
  • San Clemente, CA
  • NPI 1891820791
  NPD (past)

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536537600000",
    "number": "1972086551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S OLA VISTA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724037",
            "telephone_number": "949-481-2540",
            "fax_number": "949-481-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S OLA VISTA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724037",
            "telephone_number": "949-481-2540",
            "fax_number": "949-481-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI JAZAYERI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A",
        "authorized_official_last_name": "JAZAYERI",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "949-481-2540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cynthia Karen Allen, MFT
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• Jacqueline Michelle Alm, PT

• Dental Clinic/Center in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.