Individual provider Active NPI

Mona Nejad, D.D.S.

  • Dentist
  • Torrance, CA
National Provider Identifier
1003355686
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
103045 Issued in CA
Practice address
4305 Torrance Blvd Ste 103
Torrance, CA 90503
Phone
(310) 542-5155
NPI assigned
Feb 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 103045 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4305 Torrance Blvd Ste 103
Torrance, CA 90503

Mailing address

4305 Torrance Blvd Ste 103
Torrance, CA 90503-4420
Phone (310) 542-5155

Other practice location 1

4915 25th Ave NE
Suite 205
Seattle, WA 98105-5667
Phone (206) 524-1600

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

LicenseStateTypeSpecialty
103045CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shawna Omid DDS Dentist Past Accepting new patients
Winston & Letwin DDS, PLLC PastSince Jul 24, 2022 Accepting new patients
Peregrine Pacific Anesthesia PLLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1003355686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 TORRANCE BLVD STE 103",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034420",
            "telephone_number": "310-542-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 TORRANCE BLVD STE 103",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90503",
            "telephone_number": "310-542-5155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4915 25th Ave NE",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981055667",
            "country_code": "US",
            "telephone_number": "206-524-1600",
            "fax_number": "206-524-1603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEJAD",
        "first_name": "MONA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-16",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "103045",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.