Individual provider Active NPI

Shiva Ghahremani, D.D.S.

  • General Practice Dentistry
  • Rancho Palos Verdes, CA
National Provider Identifier
1023247186
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
58347 Issued in CA
Practice address
27789 Palos Verdes Dr E
Rancho Palos Verdes, CA 90275-5148
Phone
(310) 488-2616
NPI assigned
Jul 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 58347 CA Primary

Addresses

Primary practice location

27789 Palos Verdes Dr E
Rancho Palos Verdes, CA 90275-5148

Mailing address

27789 Palos Verdes Dr E
Rancho Palos Verdes, CA 90275-5148
Phone (310) 488-2616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150914001939 CA Order and Referring Only - DentistPractitioner - Dentist 8022325778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shiva Ghahremani DDS, Inc. General Practice CurrentSince Nov 24, 2025 Accepting new patients

Locations

2180 Westwood Blvd
Ste 2D
Los Angeles, CA 90025
Phone (310) 441-8888

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": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1023247186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27789 PALOS VERDES DR E",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902755148",
            "telephone_number": "310-488-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27789 PALOS VERDES DR E",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902755148",
            "telephone_number": "310-488-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAHREMANI",
        "first_name": "SHIVA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-10",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Palos Verdes, CA

Sources for this page

Verify at the official NPI Registry.