Organization Active NPI

Jamshid Azizzadeh DDS Inc

  • Dentist
  • Whittier, CA
National Provider Identifier
1982715173
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39228 Issued in CA
Legal business name
JAMSHID AZIZZADEH DDS INC
Practice address
15030 Whittier Blvd # 106
Whittier, CA 90603
Phone
(562) 789-8989
Fax
(562) 789-8966
NPI assigned
Aug 31, 2006
Last updated
May 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2012

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

Authorized official

Name
Mr. James Aziz, DDS
Title
President
Phone
(562) 789-8989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 39228 CA Primary

Addresses

Primary practice location

15030 Whittier Blvd # 106
Whittier, CA 90603

Mailing address

15030 Whittier Blvd # 106
Whittier, CA 90603
Phone (562) 789-8989

Other names 1

  • Advance Dental Center Former legal business name

National Provider Directory

National Provider Directory

Locations

15030 Whittier Blvd
Ste 106
Whittier, CA 90603
Phone (562) 789-8989

Practitioners & affiliated clinicians

Practitioners 1

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1982715173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15030 WHITTIER BLVD # 106",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90603",
            "telephone_number": "562-789-8989",
            "fax_number": "562-789-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15030 WHITTIER BLVD # 106",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90603",
            "telephone_number": "562-789-8989",
            "fax_number": "562-789-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMSHID AZIZZADEH DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "AZIZ",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-789-8989",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "39228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Dental Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.