DR. AZADEH RASTIKERDAR
NPI 1063879997
Dentist - General Practice in Santa Maria, CA

Active since January 22, 2016
1846 N BROADWAY # B, SANTA MARIA, CA 93454(805) 922-5122 Get Directions Write a Review

NPPES record last updated: January 22, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Azadeh Rastikerdar NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AZADEH RASTIKERDAR (NPI 1063879997) is an individual general practice provider in Santa Maria, California, licensed in California (62992) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1063879997
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. AZADEH RASTIKERDAR
Location Address1846 N BROADWAY # BSanta Maria, CA 93454-1447
Mailing Address1640 S Bentley Ave Apt 6Los Angeles, CA 90025-3539 · (424) 394-6677
Sole ProprietorNo
Enumeration DateJanuary 22, 2016
NPI 1063879997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 62992
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1846 N BROADWAY # B, Santa Maria, CA 93454

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist
1846 N BROADWAY # B
SANTA MARIA, CA 93454

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063879997, enumerated as an "individual" on January 22, 2016.

The provider is located at 1846 N BROADWAY # B SANTA MARIA, CA 93454 and the phone number is (805) 922-5122.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.