Atiya Bahmanyar, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

103115 Issued in CA

Practice address

1600 W Gonzales Rd Ste C
Oxnard, CA 93036-7789

Phone

(805) 755-4371

NPI assigned

May 3, 2017

Last updated

Oct 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Atiya Bahmanyar DDS Inc

  • Dentist
  • Anaheim, CA
  • NPI 1407597958
  NPD Authorized official
• Dr. Page Hudson Dental Corporation

  dba Children's Choice Dental Care

  • Pediatric Dentistry
  • Oxnard, CA
  • NPI 1104458983
  NPD
• Jacobson Dental Corp

  dba Children's Choice Dental Care

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Oxnard, CA
  • NPI 1437554748
  NPD

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1982130472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1174 N EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W GONZALES RD STE C",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930367789",
            "telephone_number": "805-755-4371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 55th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112202508",
            "country_code": "US",
            "telephone_number": "718-630-6816",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1174 N Euclid St",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928011900",
            "country_code": "US",
            "telephone_number": "714-900-3340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAHMANYAR",
        "first_name": "ATIYA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-03",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "103115",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mara Bactad, FNP-CB
• Gabriela Baez
• Sinthia A Baez
• Elisabet Bafverfeldt, D.D.S
• Amirhossein Bahador
• Brian C Bai, MD
• Christina Marie Bailey
• Marianne Claire Bailon
• Tyler Wade Baker-Wilkinson
• Pattie Baker

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.