Joseph Azizi, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

39939 Issued in CA

Practice address

14011 S Van Ness Ave
Gardena, CA 90249

Phone

(310) 327-0404

Fax

(310) 327-1426

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Joseph Azizi Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Normandy Joseph Dental Group

  • Dentist
  • Gardena, CA
  • NPI 1225645252
  Medicare reassignment NPD Authorized official
• Tilden Bay Joseph Dental Group

  • Dentist
  • Sherman Oaks, CA
  • NPI 1750981478
  Medicare reassignment NPD Authorized official
• Azizi Dental Corporation

  • Dentist
  • Gardena, CA
  • NPI 1841399508
  NPD (past) Authorized official
• Tilden Bay Joseph Dental Group

  • General Practice Dentistry
  • Sherman Oaks, CA
  • NPI 1841627825
  NPD

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992804652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14011 S VAN NESS AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "90249",
            "telephone_number": "310-327-0404",
            "fax_number": "310-327-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14011 S VAN NESS AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "90249",
            "telephone_number": "310-327-0404",
            "fax_number": "310-327-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIZI",
        "first_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "39939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPH",
            "last_name": "AZIZI",
            "prefix": "MR.",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alaia Ariana Azarcon
• Samvel Azaryan
• Hisashi Steve Azeoka
• Nasser Aziz-Zadeh, MD
• Azizi Dental Corporation
• Jaime G Aznar, L.C.S.W
• Charlene Ngozi Azonwu, NP
• Charlfaith A Azonwu, PMHNP-BC
• B & E Convalescent Center Inc
• Silvana Lourdes Babuglia I, MFT-I

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.