Individual provider Active NPI

Nazanin Forghani, DDS, MSC

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1104694462
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
SP312 Issued in CA
Practice address
1031 W 34TH St Ste 401
Los Angeles, CA 90089-3603
Phone
(213) 740-2012
NPI assigned
Dec 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X SP312 CA Primary

Addresses

Primary practice location

1031 W 34TH St Ste 401
Los Angeles, CA 90089-3603

Mailing address

925 W 34TH St # 4368
Los Angeles, CA 90089-0058

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

State licenses

LicenseStateTypeSpecialty
SP312CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1104694462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 W 34TH ST # 4368",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900890058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 W 34TH ST STE 401",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900893603",
            "telephone_number": "213-740-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORGHANI",
        "first_name": "NAZANIN",
        "credential": "DDS, MSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "SP312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.