Individual provider Active NPI

Javad Kolahi, DDS

  • Dentist
  • El Monte, CA
National Provider Identifier
1013962398
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
35283 Issued in CA
Practice address
3913 N Peck Road
El Monte, CA 91732
Phone
(626) 350-1111
Fax
(626) 350-0678
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 35283 CA Primary

Addresses

Primary practice location

3913 N Peck Road
El Monte, CA 91732

Mailing address

3913 North Peck Road
El Monte, CA 91732
Phone (626) 350-1111

Other identifiers 1

IdentifierTypeStateIssuer
G906561OtherCADENTICAL

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
35283CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Kolahi Dental Corp Past Accepting new patients

Organizations & group practices 1

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1013962398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3913 NORTH PECK ROAD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "91732",
            "telephone_number": "626-350-1111",
            "fax_number": "626-350-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3913 N PECK ROAD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "91732",
            "telephone_number": "626-350-1111",
            "fax_number": "626-350-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLAHI",
        "first_name": "JAVAD",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "35283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "G906561",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.