Individual provider Active NPI

Afshin Badii, D.D.S

  • Endodontics
  • Los Angeles, CA
National Provider Identifier
1154680296
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
65249 Issued in CA
Practice address
11980 San Vicente Blvd Ste 900
Los Angeles, CA 90049-6607
Phone
(310) 979-2160
Fax
(310) 979-2161
NPI assigned
May 10, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 65249 CA Primary

Addresses

Primary practice location

11980 San Vicente Blvd Ste 900
Los Angeles, CA 90049-6607

Mailing address

11980 San Vicente Blvd Ste 900
Los Angeles, CA 90049-6607
Phone (310) 979-2160

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20161020001943 CA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 8123306461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
65249CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Afshin Badii DDS Dental Corporation Endodontics CurrentSince Jun 23, 2025 Accepting new patients

Locations

11980 San Vicente Blvd
Ste 900
Los Angeles, CA 90049
Phone (310) 826-1085

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1154680296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11980 SAN VICENTE BLVD STE 900",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496607",
            "telephone_number": "310-979-2160",
            "fax_number": "310-979-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11980 SAN VICENTE BLVD STE 900",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496607",
            "telephone_number": "310-979-2160",
            "fax_number": "310-979-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADII",
        "first_name": "AFSHIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-10",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "65249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.