MEDICARE: BABAK JAVIDI DMD INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	122300000X	Dentist
2	1223G0001X	General Practice Dentistry
3	1223P0221X	Pediatric Dentistry

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	106067	OTHER	CA	DENTIST

General Provider Information

NPI Number	:	1528789161
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BABAK JAVIDI DMD INC

Provider Business Mailing Address
First Line	:	12125 ALTA CARMEL CT STE 310
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92128-3892
Country	:	US
Telephone Number	:	619-800-4948
Fax Number	:

Provider Business Practice Location Address
First Line	:	12125 ALTA CARMEL CT STE 310
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92128-3892
Country	:	US
Telephone Number	:	619-800-4948
Fax Number	:

Authorized Official
Title or Position	:	OWNER DENTIST
Name	:	DR. BABAK JAVIDI
Credential	:	DMD
Telephone Number	:	857-230-8493

Provider Enumeration Date	:	09/12/2022
Last Update Date	:	09/12/2022

Similar Medicare Providers

1407366727 — BABAK JAVIDI DMD
Practice Location Address:

12125 ALTA CARMEL CT STE 310
SAN DIEGO, CA
92128-3892

Practice Phone: 619-800-4948
Practice Fax: 619-800-4948

1740958198 — AZAR PARSAFAR DMD
Practice Location Address:

12125 ALTA CARMEL CT STE 310
SAN DIEGO, CA
92128-3892

Practice Phone: 619-800-4948
Practice Fax:

1154311108 — LESLIE WILSON MD
Practice Location Address:

3130 SE MILITARY DR STE 101
SAN ANTONIO, TX
78223-3892

Practice Phone: 210-543-7334
Practice Fax: 210-370-3172

1689877375 — DR. ANN ELIZABETH HOOD RPT, DC
Practice Location Address:

3892 24TH ST
SAN FRANCISCO, CA
94114-3839

Practice Phone: 415-821-2100
Practice Fax: 415-821-0633

1326228818 — DR. CYRIL JOSEPH DMD
Practice Location Address:

7271 WURZBACH RD STE 205
SAN ANTONIO, TX
78240-3892

Practice Phone: 210-614-0066
Practice Fax:

1528581980 — ABDALLAH AZZAM DC
Practice Location Address:

7271 WURZBACH RD STE 133
SAN ANTONIO, TX
78240-3892

Practice Phone: 210-255-3888
Practice Fax: 210-255-3872

Directions to “BABAK JAVIDI DMD INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.