Active NPI
Arjang Vahidnia, DMD
- Endodontics
- Los Angeles, CA
National Provider Identifier
1003063652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 57584
- Practice address
- 7162 Beverly Blvd
#543
Los Angeles, CA 90036-2547 - Phone
- (310) 443-3030
- NPI assigned
- Aug 26, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22271 | MA | |
| Endodontics | 1223E0200X | 57584 | CA | Primary |
Addresses
Primary practice location
7162 Beverly Blvd
#543
Los Angeles, CA 90036-2547
Mailing address
7162 Beverly Blvd
#543
Los Angeles, CA 90036-2547
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22271 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406073600000",
"number": "1003063652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7162 BEVERLY BLVD",
"address_2": "#543",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900362547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7162 BEVERLY BLVD",
"address_2": "#543",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900362547",
"telephone_number": "310-443-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAHIDNIA",
"first_name": "ARJANG",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-26",
"last_updated": "2014-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "22271",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "57584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.