Shahab Rabizadeh, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

107103 Issued in CA

Practice address

23107 Bigler St
Woodland Hills, CA 91364-2708

Phone

(818) 912-9723

NPI assigned

Aug 26, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1114473568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23107 BIGLER ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642708",
            "telephone_number": "818-912-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23107 BIGLER ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642708",
            "telephone_number": "818-912-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABIZADEH",
        "first_name": "SHAHAB",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-26",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "107103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R. Mirebrahimian, DDS, a Professional Dental Corporation
• Samantha Rose Raad, MD
• Sepideh Leah Rabi, M.D.
• Amir R Rabiee, DDS
• Saman Rabizadeh, PHARM D.
• Shahrzad Rabizadeh
• Sami Raboubi
• Nadra Rachell
• Katerina Claire Rackley
• Shervin Rad

• General Practice Dentistry in Woodland Hills, CA
• Providers in Woodland Hills, 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 Oct 22, 2021; 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.