NPIMap

Organization Active NPI

Cohen Sedgh, Manavi& Pakravan Dental Corporation

Doing business as Canyon Dental Group

  • Dentist
  • Valencia, CA
National Provider Identifier
1083912430
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
38558 Issued in CA
Legal business name
COHEN SEDGH, MANAVI& PAKRAVAN DENTAL CORPORATION
Doing business as
Canyon Dental Group
Practice address
28237 Newhall Ranch Rd
Valencia, CA 91355-0986
Phone
(661) 257-4242
Fax
(661) 294-0020
NPI assigned
Mar 9, 2011
Last updated
Jun 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Authorized official

Name
Farhad ManaviNPI 1568505303
Title
Owner
Phone
(310) 820-9933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 38558 CA Primary

Addresses

Primary practice location

28237 Newhall Ranch Rd
Valencia, CA 91355-0986

Mailing address

28237 Newhall Ranch Rd
Valencia, CA 91355-0986
Phone (661) 257-4242

Other names 1

  • CANYON DENTAL GROUP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cohen Sedgh Manavi Pakravan Dental Corporation23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1083912430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28237 NEWHALL RANCH RD",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913550986",
            "telephone_number": "661-257-4242",
            "fax_number": "661-294-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28237 NEWHALL RANCH RD",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913550986",
            "telephone_number": "661-257-4242",
            "fax_number": "661-294-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COHEN SEDGH, MANAVI& PAKRAVAN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-09",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "MANAVI",
        "authorized_official_first_name": "FARHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-820-9933"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "38558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CANYON DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.