NAEEM ETEMADI DDS
NPI 1477039592
Dentist - General Practice in San Diego, CA

Q: What is Naeem Etemadi's NPI number?

The NPI number for Naeem Etemadi is 1477039592. It was assigned to this individual provider in the NPPES registry on July 11, 2018.

Q: What is Naeem Etemadi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Naeem Etemadi was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since July 11, 2018PECOS Enrolled

11770 BERNARDO PLAZA CT STE 350, SAN DIEGO, CA 92128(858) 633-1110(858) 633-1331 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2018, Jul 11, 2018 (2 updates tracked since 2018).

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About Naeem Etemadi Dds NPPES

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

NAEEM ETEMADI DDS (NPI 1477039592) is an individual general practice provider in San Diego, California, licensed in California (103197) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Irvine.

NPPES Registry Identity

NPI1477039592

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameNAEEM ETEMADICredential: DDS

Location Address11770 BERNARDO PLAZA CT STE 350San Diego, CA 92128-2426

Mailing Address11770 Bernardo Plaza Ct Ste 350San Diego, CA 92128-2426 · (858) 633-1110 · Fax (858) 633-1331

Phone(858) 633-1110

Fax(858) 633-1331

Sole ProprietorYes

Enumeration DateJuly 11, 2018

Last NPPES UpdateJuly 29, 20252 updates tracked since enumeration

NPPES CertifiedJuly 29, 2025

✔ NPI 1477039592 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 · 103197

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.

11770 BERNARDO PLAZA CT STE 350, San Diego, CA 92128

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Secondary Practice Location 1

Location 12801 Main St Apt 139Irvine, CA 92614-5002 · Phone (917) 803-3894

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Naeem Etemadi Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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