NPIMap

Organization Active NPI

Cohen Sedgh, Manavi& Pakravan Dental Corporation

  • 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
Practice address
28237 Newhall Ranch Rd
Valencia, CA 91355-0986
Phone
(661) 257-4242
Fax
(661) 294-0020
NPI assigned
Mar 9, 2011
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Farhad Manavi
Title
Owner
Phone
(310) 820-9933

Corporate family (same tax ID) 22

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

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
Cohen Sedgh Manavi Pakravan Dental Corporation (23 organizations share this tax ID)

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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

NPPES NPI Registry
  • CANYON DENTAL GROUP Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 27, 2022.

{
    "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.