Emad W Bassali, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

41894 Issued in CA

Practice address

4940 Van Nuys Blvd Ste 101
Sherman Oaks, CA 91403-1773

Phone

(818) 789-2200

Fax

(818) 789-4455

NPI assigned

Mar 30, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104946458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 VAN NUYS BLVD STE 101",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031773",
            "telephone_number": "818-789-2200",
            "fax_number": "818-789-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 VAN NUYS BLVD STE 101",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031773",
            "telephone_number": "818-789-2200",
            "fax_number": "818-789-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSALI",
        "first_name": "EMAD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "41894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Kyle Bartels, MD
• Sharon Baruch-Sutton
• Rusel David Basco, DPT
• Mohammad Ali Bashyry Sr.
• Pavan Basra, LMFT
• Lynn Bassini, MA OTR CHT
• Erica Basso, LMFT
• Ronald Phillip Bataclan, NP
• Christine Vaughn Bauman, CMT
• Mary Ryerson Bauman, PHD

• Endodontics in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.