Active NPI
Mona Nejad, D.D.S.
- Dentist
- Torrance, CA
National Provider Identifier
1003355686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 103045
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 103045 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shawna Omid DDS | Dentist | Past | Accepting new patients |
| Winston & Letwin DDS, PLLC | Past | 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.
-
- Dentist
- Torrance, CA
- NPI 1619324480
-
- Anesthesiology Physician
- Seattle, WA
- NPI 1891065595
-
- General Practice Dentistry
- Seattle, WA
- NPI 1669655767
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.