Individual provider Active NPI

Rod Najibi

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1063891513
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
64505 Issued in CA
Practice address
1512 S Centinela Ave Apt 8
Los Angeles, CA 90025-3638
Phone
(310) 266-9567
NPI assigned
May 29, 2015
Last updated
Mar 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 64505 CA Primary

Addresses

Primary practice location

1512 S Centinela Ave Apt 8
Los Angeles, CA 90025-3638

Mailing address

1512 S Centinela Ave Apt 8
Los Angeles, CA 90025-3638

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rod.najibi.p1@direct.eisnerhealth.nextgenshare.com Health Information Exchange (HIE)

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
I20220804001509 CA Order and Referring Only - DentistPractitioner - Dentist 0143602326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64505CAMDDentist

Interoperability endpoints

  • Direct secure messaging: rod.najibi.1@28334.direct.athenahealth.com
  • Direct secure messaging: rod.najibi.p1@direct.eisnerhealth.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1063891513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 S CENTINELA AVE APT 8",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 S CENTINELA AVE APT 8",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253638",
            "telephone_number": "310-266-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAJIBI",
        "first_name": "ROD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-29",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "64505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rod.najibi.p1@direct.eisnerhealth.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "NextGenShare, Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1530 S Olive St",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900153023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.