Active NPI
Golmah Zarinkhou
- Dentist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 104297
- Practice address
- 5162 Whittier Blvd
Los Angeles, CA 90022-3932 - Phone
- (323) 415-6161
- NPI assigned
- May 9, 2018
- Last updated
- Dec 15, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 104297 | CA | Primary |
Addresses
Primary practice location
5162 Whittier Blvd
Los Angeles, CA 90022-3932
Mailing address
5162 Whittier Blvd
Los Angeles, CA 90022-3932
Phone (323) 415-6161
Other practice location 1
VA Sepulveda Ambulatory Care Center, 16111 Plummer
Street Dental Services (160), Bldg 10 Rm 1C-100
North Hills, CA 91343
Phone (818) 891-7711 ext. 31044
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
| License | State | Type | Specialty |
|---|---|---|---|
| 104297 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Farhad Manavi Professional Dental Corporation | Past | Accepting new patients | |
| Veterans Administration | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba West Coast Dental Group of East Los Angeles
- General Practice Dentistry
- Los Angeles, CA
- NPI 1356565758
-
- Adult Mental Health Clinic/Center
- Sepulveda, CA
- NPI 1740537299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1073002663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5162 WHITTIER BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900223932",
"telephone_number": "323-415-6161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5162 WHITTIER BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900223932",
"telephone_number": "323-415-6161"
}
],
"practiceLocations": [
{
"address_1": "VA Sepulveda Ambulatory Care Center, 16111 Plummer",
"address_2": "Street Dental Services (160), Bldg 10 Rm 1C-100",
"address_purpose": "LOCATION",
"city": "North Hills",
"state": "CA",
"postal_code": "91343",
"country_code": "US",
"telephone_number": "818-891-7711 x31044",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZARINKHOU",
"first_name": "GOLMAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-09",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "104297",
"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 Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.