Active NPI
Afshin Badii, D.D.S
- Endodontics
- Los Angeles, CA
National Provider Identifier
1154680296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 65249
- 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
- Last updated
- Jun 20, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161020001943 | CA | Order and Referring Only - Other (Physician) | 8123306461 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65249 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Afshin Badii DDS Dental Corporation | Endodontics | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.