Active NPI
Angela Fereshteh Bayat, DDS
- General Practice Dentistry
- Berkeley, CA
National Provider Identifier
1972725406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 46557
- Practice address
- 3021 Telegraph Ave. Suite D
Berkeley, CA 94705 - Phone
- (510) 841-1866
- NPI assigned
- May 3, 2007
- Last updated
- Dec 8, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 46557 | CA | Primary |
Addresses
Primary practice location
3021 Telegraph Ave. Suite D
Berkeley, CA 94705
Mailing address
3 Altarinda Rd Ste 305
Orinda, CA 94563-2601
Phone (625) 254-0084
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46557 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260230400000",
"number": "1972725406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 ALTARINDA RD STE 305",
"city": "ORINDA",
"state": "CA",
"postal_code": "945632601",
"telephone_number": "625-254-0084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3021 TELEGRAPH AVE. SUITE D",
"city": "BERKELEY",
"state": "CA",
"postal_code": "94705",
"telephone_number": "510-841-1866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAYAT",
"first_name": "ANGELA",
"middle_name": "FERESHTEH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2009-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "46557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
- Bay Imaging Consultants Medical Group Inc
- Bay Imaging Consultants Medical Group Inc
- Bay Imaging Consultants Medical Group, Inc.
- Bay Pathology Medical Group
- Bay Psychiatric Associates
- Baychildren's Physicians
- Baychildren's Physicians
- Baychildren's Physicians
- Bayer Reference Testing Laboratory
- Bayhealth Berkeley Surgery Center, LLC (Berkeley Surgery Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.