Organization Active NPI

Mehran Javaherian

  • General Practice Dentistry
  • Arleta, CA
National Provider Identifier
1003211731
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38060 Issued in CA
Legal business name
MEHRAN JAVAHERIAN
Practice address
9700 Woodman Ave
Suite A29
Arleta, CA 91331-6459
Phone
(818) 897-1999
NPI assigned
Oct 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Mehran Javaherian, D.D.SNPI 1922203512
Title
President
Phone
(818) 897-1999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 38060 CA Primary

Addresses

Primary practice location

9700 Woodman Ave
Suite A29
Arleta, CA 91331-6459

Mailing address

9700 Woodman Ave
Suite A29
Arleta, CA 91331-6459
Phone (818) 897-1999

Other identifiers 1

IdentifierTypeStateIssuer
38060MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1003211731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 WOODMAN AVE",
            "address_2": "SUITE A29",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "913316459",
            "telephone_number": "818-897-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 WOODMAN AVE",
            "address_2": "SUITE A29",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "913316459",
            "telephone_number": "818-897-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHRAN JAVAHERIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "JAVAHERIAN",
        "authorized_official_first_name": "MEHRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-897-1999",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arleta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.

Verify at the official NPI Registry.