DAVID RUSTAMZADEH DDS, MSD
NPI 1851469712
Dentist - Periodontics in Oakland, CA

Q: What is David Rustamzadeh's NPI number?

The NPI number for David Rustamzadeh is 1851469712. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Q: What is David Rustamzadeh's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for David Rustamzadeh was last updated on March 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since November 30, 2006PECOS Enrolled

3050 E. 16TH ST., OAKLAND, CA 94601(510) 535-2319(510) 535-4283 Get Directions Write a Review

NPPES record last updated: March 8, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About David Rustamzadeh Dds, Msd NPPES

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

DAVID RUSTAMZADEH DDS, MSD (NPI 1851469712) is an individual periodontics provider in Oakland, California, licensed in California (55256) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851469712

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDAVID RUSTAMZADEHCredential: DDS, MSD

Location Address3050 E. 16TH ST.Oakland, CA 94601-2319

Mailing AddressP.o. Box 22210Oakland, CA 94623-2210 · (510) 535-4000 · Fax (510) 535-4128

Phone(510) 535-2319

Fax(510) 535-4283

Sole ProprietorNo

Enumeration DateNovember 30, 2006

Last NPPES UpdateMarch 8, 2012

✔ NPI 1851469712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in CA · 55256

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

3050 E. 16TH ST., Oakland, CA 94601

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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)

David Rustamzadeh Dds, Msd 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 94601 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

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

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

GARRICK SCOTT HONG D.D.S

Dentist (General Practice)

3050 E. 16TH ST., FRUITVALE DENTAL
OAKLAND, CA 94601

Alameda County (510) 535-4700

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 David Rustamzadeh's NPI number?

The NPI number for David Rustamzadeh is 1851469712. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is David Rustamzadeh located?

David Rustamzadeh practices at 3050 E. 16th St., Oakland, CA 94601. The listed phone number is (510) 535-2319.

What is David Rustamzadeh's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is David Rustamzadeh enrolled in Medicare?

Yes. David Rustamzadeh is registered in the Medicare PECOS enrollment system.

What insurance does David Rustamzadeh accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list David Rustamzadeh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Rustamzadeh was last updated on March 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.