Organization Active NPI

Jahangiri DDS Inc.

Doing business as Southern California Family Dentistry

  • General Practice Dentistry
  • Whittier, CA
National Provider Identifier
1023122330
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43611 Issued in CA
Legal business name
JAHANGIRI DDS INC.
Doing business as
Southern California Family Dentistry
Practice address
14412 Whittier Blvd
Whittier, CA 90605-2105
Phone
(562) 693-0788
Fax
(562) 693-6813
NPI assigned
Aug 17, 2006
Last updated
May 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Authorized official

Name
Mr. Hossein Jahangiri, DDSNPI 1467566737
Title
Owner Dentist
Phone
(562) 693-0788

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 Dentistry 1223G0001X 43611 CA Primary

Addresses

Primary practice location

14412 Whittier Blvd
Whittier, CA 90605-2105

Mailing address

14412 Whittier Blvd
Whittier, CA 90605-2105
Phone (562) 693-0788

Other identifiers 9

IdentifierTypeStateIssuer
002501OtherCADELTA DENTAL PMI
239078OtherCACIGNA
55292OtherCASAFE GUARD HEALTHY FAM.
971074OtherCAUNITED CONCORDIA
0024396OtherCAAETNA DMO
5332OtherCAPACIFIC UNION DENTAL
100450OtherCADENTAL HEALTH SERVICES
7032OtherCAPACIFICARE
B43611OtherCADENTICAL

Other names 1

  • Southern California Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

14412 Whittier Blvd
Whittier, CA 90605
Phone (562) 693-0788

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1023122330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14412 WHITTIER BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906052105",
            "telephone_number": "562-693-0788",
            "fax_number": "562-693-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14412 WHITTIER BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906052105",
            "telephone_number": "562-693-0788",
            "fax_number": "562-693-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAHANGIRI DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "JAHANGIRI",
        "authorized_official_first_name": "HOSSEIN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "562-693-0788",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL PMI",
            "identifier": "002501",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "239078",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAFE GUARD HEALTHY FAM.",
            "identifier": "55292",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "971074",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA DMO",
            "identifier": "0024396",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC UNION DENTAL",
            "identifier": "5332",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL HEALTH SERVICES",
            "identifier": "100450",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "7032",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "B43611",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern California Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.