Individual provider Active NPI

Mandana Akbarian, D.M.D.

  • Dentist
  • Rancho Cucamonga, CA
National Provider Identifier
1073792156
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
59619 Issued in CA
Practice address
5967 Sandown PL
Rancho Cucamonga, CA 91739-2429
Phone
(610) 308-8296
NPI assigned
Oct 25, 2007
Last updated
Nov 16, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 59619 CA Primary

Addresses

Primary practice location

5967 Sandown PL
Rancho Cucamonga, CA 91739-2429

Mailing address

5967 Sandown PL
Rancho Cucamonga, CA 91739-2429
Phone (610) 308-8296

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

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353024000000",
    "number": "1073792156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5967 SANDOWN PL",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392429",
            "telephone_number": "610-308-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5967 SANDOWN PL",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392429",
            "telephone_number": "610-308-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKBARIAN",
        "first_name": "MANDANA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-25",
        "last_updated": "2012-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "59619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.