Organization Active NPI

Andre Gharibian DDS Inc

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1053808980
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ANDRE GHARIBIAN DDS INC
Practice address
4360 San Pedro PL
Los Angeles, CA 90011-2965
Phone
(818) 590-8825
NPI assigned
Apr 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Authorized official

Name
Andre GharibianNPI 1720338809
Title
President
Phone
(818) 590-8825

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

4360 San Pedro PL
Los Angeles, CA 90011-2965

Mailing address

4360 San Pedro PL
Los Angeles, CA 90011-2965

National Provider Directory

National Provider Directory

Locations

4360 San Pedro Pl
Los Angeles, CA 90011
Phone (323) 238-7682

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523836800000",
    "number": "1053808980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4360 SAN PEDRO PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900112965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 SAN PEDRO PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900112965",
            "telephone_number": "818-590-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRE GHARIBIAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A",
        "authorized_official_last_name": "GHARIBIAN",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-590-8825"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.