Active NPI
Mona Monzavi, DMD
- Periodontics
- Santa Monica, CA
National Provider Identifier
1154785541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 63099
- Practice address
- 934 21St St Apt 5
Santa Monica, CA 90403-3433 - Phone
- (805) 679-1139
- NPI assigned
- Apr 12, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 63099 | CA | Primary |
Addresses
Primary practice location
934 21St St Apt 5
Santa Monica, CA 90403-3433
Mailing address
525 High Grove Ave
Goleta, CA 93117-5543
Phone (805) 679-1139
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63099 | CA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644537600000",
"number": "1154785541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 HIGH GROVE AVE",
"city": "GOLETA",
"state": "CA",
"postal_code": "931175543",
"telephone_number": "805-679-1139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "934 21ST ST APT 5",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904033433",
"telephone_number": "805-679-1139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONZAVI",
"first_name": "MONA",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-12",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "63099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.