SOUTHBAY DENTISTRY AND ORTHODONTICS
NPI 1225645252
Dentist in Gardena, CA

Q: What is Normandy Joseph Dental Group's NPI number?

The NPI number for Normandy Joseph Dental Group is 1225645252. It was assigned to this organization in the NPPES registry on September 24, 2020. The provider is doing business as Southbay Dentistry And Orthodontics.

Q: What is Normandy Joseph Dental Group's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since September 24, 2020

14011 VAN NESS AVE, GARDENA, CA 90249(310) 327-0404(310) 327-1426 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 24, 2023, Sep 24, 2020 (2 updates tracked since 2020).

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About Southbay Dentistry And Orthodontics NPPES

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

SOUTHBAY DENTISTRY AND ORTHODONTICS (NPI 1225645252) is a healthcare organization registered as a dentist in Gardena, California and active in the NPI registry since September 2020. The organization lists Joseph Azizi, President/owner, as its authorized official.

NPPES Registry Identity

NPI1225645252

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameNORMANDY JOSEPH DENTAL GROUP

Location Address14011 VAN NESS AVEGardena, CA 90249-2915

Mailing Address2934 1/2 Beverly Glen Circle #451, 451Los Angeles, CA 90077-1724 · (310) 695-1589 · Fax (818) 782-0402

Phone(310) 327-0404

Fax(310) 327-1426

Organization SubpartYesParent: Tilden Bay Joseph Dental Group

Authorized OfficialJoseph AziziPresident/owner · (310) 466-9571

Enumeration DateSeptember 24, 2020

Last NPPES UpdateJanuary 24, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 24, 2023

✔ NPI 1225645252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

14011 VAN NESS AVE, Gardena, CA 90249

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Other Names 1

Doing Business AsSouthbay Dentistry And Orthodontics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southbay Dentistry And Orthodontics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southbay Dentistry And Orthodontics, which bills Medicare for the services this clinician delivers.

Clinician (1)

Joseph Azizi, DMD

Oral Surgery

NPI 1992804652

14011 S VAN NESS AVE
Gardena, CA 90249

(310) 327-0404

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Normandy Joseph Dental Group's NPI number?

The NPI number for Normandy Joseph Dental Group is 1225645252. It was assigned to this organization in the NPPES registry on September 24, 2020. The provider is doing business as Southbay Dentistry And Orthodontics.

Where is Normandy Joseph Dental Group located?

Normandy Joseph Dental Group is located at 14011 Van Ness Ave, Gardena, CA 90249. The listed phone number is (310) 327-0404.

What is Normandy Joseph Dental Group's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Normandy Joseph Dental Group enrolled in Medicare?

Yes. Normandy Joseph Dental Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Normandy Joseph Dental Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Normandy Joseph Dental Group. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Normandy Joseph Dental Group was last updated on January 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.