Active NPI
Mahnaz Rashti, D.D.S
- Periodontics
- Beverly Hills, CA
National Provider Identifier
1073606646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 42412
- Practice address
- 9735 Wilshire Blvd., Suite 307
Beverly Hills, CA 90212 - Phone
- (310) 623-3330
- Fax
- (310) 550-6049
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 42412 | CA | Primary |
Addresses
Primary practice location
9735 Wilshire Blvd., Suite 307
Beverly Hills, CA 90212
Mailing address
9735 Wilshire Blvd., Suite 307
Beverly Hills, CA 90212
Phone (310) 623-3330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 227-6158-9 | Other | CA | EDD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 22, 2018 through Oct 22, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42412 | CA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073606646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9735 WILSHIRE BLVD., SUITE 307",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "90212",
"telephone_number": "310-623-3330",
"fax_number": "310-550-6049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9735 WILSHIRE BLVD., SUITE 307",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "90212",
"telephone_number": "310-623-3330",
"fax_number": "310-550-6049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASHTI",
"first_name": "MAHNAZ",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "42412",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDD",
"identifier": "227-6158-9",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.