Navid Bahrami DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

40530 Issued in CA

Legal business name

NAVID BAHRAMI DDS INC

Practice address

2671 Zoe Ave
Huntington Park, CA 90255

Phone

(323) 582-2000

Fax

(323) 582-2320

NPI assigned

Aug 30, 2006

Last updated

Oct 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Navid Bahrami, DDSNPI 1982859914

Title

President

Phone

(323) 582-2000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Navid Bahrami, DDS

  • General Practice Dentistry
  • Huntington Park, CA
  • NPI 1982859914
  NPD (past) Authorized official
• Luis Pedro Novielli, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Baldwin Park, CA
  • NPI 1295047975
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1073623435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2671 ZOE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "90255",
            "telephone_number": "323-582-2000",
            "fax_number": "323-582-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2671 ZOE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "90255",
            "telephone_number": "323-582-2000",
            "fax_number": "323-582-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVID BAHRAMI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "BAHRAMI",
        "authorized_official_first_name": "NAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-582-2000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "40530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B4053001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Iradj H Nazarian, MD
• Nicole Nelson, FNP
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• Ryan Kyheang Ngov

• Dentist in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.