Dalia Nosrati, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40182 Issued in CA

Practice address

6221 Wilshire Blvd
307
Los Angeles, CA 90048-5201

Phone

(323) 931-9161

Fax

(310) 789-1112

NPI assigned

Feb 20, 2007

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nosrati Dental Corporation

  • Dental Clinic/Center
  • Los Angeles, CA
  • NPI 1871730960
  NPD (past) Authorized official

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1104961135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 S ROBERTSON BLVD",
            "address_2": "126",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900353402",
            "telephone_number": "323-931-9161",
            "fax_number": "310-789-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 WILSHIRE BLVD",
            "address_2": "307",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485201",
            "telephone_number": "323-931-9161",
            "fax_number": "310-789-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOSRATI",
        "first_name": "DALIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Lee Nosic
• Nosrat Ghodousi Chiropractic Inc
• Carolyn Nosrat
• Rozita Nosratabadi, D.D.S.
• Nosrati Dental Corporation
• Michelle Nosrati
• Saeid Nosrati, M.D.
• Faranak Daravi Nosratian, DDS
• Vladimir Nossov, M.D.
• Le Tran Notarfrancesco, MD

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.