Ravon & Bashawaty Dental Partnership

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

49913 Issued in CA

Legal business name

RAVON & BASHAWATY DENTAL PARTNERSHIP

Practice address

9675 Brighton Way PH a
Beverly Hills, CA 90210-5164

Phone

(310) 275-3842

Fax

(480) 275-3842

NPI assigned

Mar 28, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Susan Lynn Nitta

Title

Office Manager

Phone

(559) 259-5650

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1093210353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2457 W BEECHWOOD AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937117015",
            "telephone_number": "559-259-5650",
            "fax_number": "480-275-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9675 BRIGHTON WAY PH A",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105164",
            "telephone_number": "310-275-3842",
            "fax_number": "480-275-3842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVON & BASHAWATY DENTAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "NITTA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "559-259-5650",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "49913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean S. Ravaei, DPM
• Hamid H Ravan, M.D.
• Shahram F Ravan, M.D.
• Paula C Ravets, PHD
• Ross R Ravin, MD
• Rizza P Ray, PA
• Nadine Recker Rayburn, PH.D.
• Raymond Badillo, M.D., a Medical Corporation
• Raymond Douglas, M.D., PHD a Professional Corporation
• Mehrdad Razaghy, DDS

• Periodontics in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.