SHAPOUR ETEMADZADEH R.D.H.
NPI 1891941597
Dental Hygienist in San Diego, CA

Active since August 13, 2008
3490 PALM AVE, SAN DIEGO, CA 92154(619) 423-1351(619) 423-1407 Get Directions Write a Review

NPPES record last updated: August 13, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shapour Etemadzadeh R.d.h. NPPES

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

SHAPOUR ETEMADZADEH R.D.H. (NPI 1891941597) is an individual dental hygienist in San Diego, California, licensed in California (RDH 15077) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1891941597
Entity TypeIndividualMale
Primary Taxonomy124Q00000X
Provider Legal NameSHAPOUR ETEMADZADEHCredential: R.D.H.
Location Address3490 PALM AVESan Diego, CA 92154
Mailing Address3490 Palm AveSan Diego, CA 92154 · (619) 423-1351 · Fax (619) 423-1407
Fax(619) 423-1407
Sole ProprietorNo
Enumeration DateAugust 13, 2008
NPI 1891941597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License Licensed in CA · RDH 15077
Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

3490 PALM AVE, San Diego, CA 92154

Other Providers at the Same Location NPPES 13

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

General Practice
3490 PALM AVE
SAN DIEGO, CA 92154
Family Medicine (Adult Medicine)
3490 PALM AVE
SAN DIEGO, CA 92154
Obstetrics & Gynecology (Gynecology)
3490 PALM AVE
SAN DIEGO, CA 92154
Internal Medicine
3490 PALM AVE
SAN DIEGO, CA 92154
Physician Assistant
3490 PALM AVE
SAN DIEGO, CA 92154
Dentist
3490 PALM AVE
SAN DIEGO, CA 92154
Nurse Practitioner (Family)
3490 PALM AVE
SAN DIEGO, CA 92154
Internal Medicine
3490 PALM AVE
SAN DIEGO, CA 92154

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 Shapour Etemadzadeh's NPI number?

The NPI number for Shapour Etemadzadeh is 1891941597. It was assigned to this individual provider in the NPPES registry on August 13, 2008.

Where is Shapour Etemadzadeh located?

Shapour Etemadzadeh practices at 3490 Palm Ave, San Diego, CA 92154. The listed phone number is (619) 423-1351.

What is Shapour Etemadzadeh's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Shapour Etemadzadeh was last updated on August 13, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.