ALI ZADEH


Address: 30204 Industrial Pkwy Sw., Hayward, CA 94544
Phone: 5104751955

ALI ZADEH (NPI# 1700030384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700030384
Entity Type Individual
Full Name ALI ZADEH
Credential DDS
Practice Address 30204 Industrial Pkwy Sw.
Hayward
CA 94544
Practice Telephone 5104751955
Practice Fax Number 5104225487
Mailing Telephone 5104751955
Mailing Fax Number 5104225487
Enumeration Date 2008-11-10
Last Update Date 2018-10-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 122300000X Dentist 58779 CA Dental Providers
Y 1223D0004X Dentist
Specialization: Dentist Anesthesiologist
58779 CA Dental Providers

Office Location

Street Address 30204 INDUSTRIAL PKWY SW.
City HAYWARD
State CA
Zip Code 94544

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Taxonomy Information

Taxonomy Code 1223D0004X
Grouping Dental Providers
Classification Dentist
Specialization Dentist Anesthesiologist

Taxonomy Definition

A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
Notes: Source: The American Society of Dentist Anesthesiologists [1/1/2013: new]

Providers in the same taxonomy and state

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1124524236 Kristin Chino Dentist 225 4th Ave Apt 204, Venice, CA 90291-8607 2018-04-05
1831644053 Marco Savittieri Dentist 3715 Ruette De Vl, San Diego, CA 92130 2016-08-17
1245680271 Ryan Cheung Dentist 8055 West Manchester Avenue, Suite 204, Playa Del Rey, CA 90293 2016-06-21
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1861848152 Phelon Rammell Dentist 24837 Tulip Ave, Loma Linda, CA 92354-3405 2016-05-05
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1871964742 Rachelle Kim Dentist 25246 Barton Rd Apt 8, Loma Linda, CA 92354-3055 2015-10-16
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Competitor

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City HAYWARD
Zip Code 94544

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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