Active NPI
Lasting Smiles of West Covina
- General Practice Dentistry
- West Covina, CA
National Provider Identifier
1144152331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- LASTING SMILES OF WEST COVINA
- Practice address
- 1710 W Cameron Ave Ste 100
West Covina, CA 91790-2720 - Phone
- (626) 962-4428
- Fax
- (626) 962-9789
- NPI assigned
- Jun 1, 2026
- Last updated
- Jun 1, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharam Ghodsi, DDS
- Title
- President
- Phone
- (714) 206-3762
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
1710 W Cameron Ave Ste 100
West Covina, CA 91790-2720
Mailing address
PO Box 18538
Anaheim, CA 92817-8538
Phone (626) 962-4428
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Las Vegas, NV
- NPI 1427283670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780272000000",
"number": "1144152331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18538",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928178538",
"telephone_number": "626-962-4428",
"fax_number": "626-962-9789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 W CAMERON AVE STE 100",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917902720",
"telephone_number": "626-962-4428",
"fax_number": "626-962-9789"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LASTING SMILES OF WEST COVINA",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-01",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A",
"authorized_official_last_name": "GHODSI",
"authorized_official_first_name": "SHARAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-206-3762",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.