Active NPI
Bijan Eshagh Zadeh
- Dentist
- Los Alamitos, CA
National Provider Identifier
1992907737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 49750
- Practice address
- 3662 Katella Ave
Suite 202
Los Alamitos, CA 90720-3124 - Phone
- (562) 799-9535
- Fax
- (562) 799-9536
- NPI assigned
- Jun 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 49750 | CA | |
| Dentist | 122300000X | 49750 | CA | Primary |
Addresses
Primary practice location
3662 Katella Ave
Suite 202
Los Alamitos, CA 90720-3124
Mailing address
3662 Katella Ave
Suite 202
Los Alamitos, CA 90720-3124
Phone (562) 799-9535
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 |
|---|---|---|---|
| 49750 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bizhan Eshaghzadeh&Dalia Niknam DDS PC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Los Alamitos, CA
- NPI 1346436946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654128000000",
"number": "1992907737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3662 KATELLA AVE",
"address_2": "SUITE 202",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907203124",
"telephone_number": "562-799-9535",
"fax_number": "562-799-9536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3662 KATELLA AVE",
"address_2": "SUITE 202",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907203124",
"telephone_number": "562-799-9535",
"fax_number": "562-799-9536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESHAGH ZADEH",
"first_name": "BIJAN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-04",
"last_updated": "2022-06-02",
"certification_date": "2022-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "49750",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "49750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Alamitos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.