Organization Active NPI

K. H. Azad Dental Corporation

Doing business as CaliDental Seaside

  • General Practice Dentistry
  • Seaside, CA
National Provider Identifier
1982301248
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
K. H. AZAD DENTAL CORPORATION
Doing business as
CaliDental Seaside
Practice address
1957 Fremont Blvd
Seaside, CA 93955-3132
Phone
(805) 242-4044
NPI assigned
Feb 7, 2023
Last updated
Feb 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Authorized official

Name
Olivia Aguinaga
Title
Business Coordinator
Phone
(805) 202-4988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1957 Fremont Blvd
Seaside, CA 93955-3132

Mailing address

1009 N H St Ste P
Lompoc, CA 93436-8141
Phone (805) 424-4044

Other practice location 1

272 Reservation Rd
Marina, CA 93933-3178
Phone (831) 200-0747

Other names 2

  • CaliDental Seaside Doing business as
  • Koushan H. Azad Professional Dental Corporation Other name

National Provider Directory

National Provider Directory

Locations

1957 Fremont Blvd
Seaside, CA 93955
Phone (805) 242-4044

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1982301248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 N H ST STE P",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934368141",
            "telephone_number": "805-424-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1957 FREMONT BLVD",
            "city": "SEASIDE",
            "state": "CA",
            "postal_code": "939553132",
            "telephone_number": "805-242-4044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "272 Reservation Rd",
            "address_purpose": "LOCATION",
            "city": "Marina",
            "state": "CA",
            "postal_code": "939333178",
            "country_code": "US",
            "telephone_number": "831-200-0747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "K. H. AZAD DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "AGUINAGA",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "BUSINESS COORDINATOR",
        "authorized_official_telephone_number": "805-202-4988"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CaliDental Seaside",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CaliDental Seaside",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Koushan H. Azad Professional Dental Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seaside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.