Parisa Aghdas Moussavian

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

106292 Issued in CA

Practice address

6846 Reseda Blvd
Reseda, CA 91335-8509

Phone

(818) 514-1684

NPI assigned

Jun 26, 2021

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

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.

• Moussavian DDS Inc

  dba Sunshine Kids Dental

  • Dental Clinic/Center
  • Montebello, CA
  • NPI 1255120275
  NPD Authorized official

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

{
    "created_epoch": "1624665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624665600000",
    "number": "1174193791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 HONEYGLEN CT",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930212742",
            "telephone_number": "805-660-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6846 RESEDA BLVD",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913358509",
            "telephone_number": "818-514-1684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4440 Honeyglen Ct",
            "address_purpose": "LOCATION",
            "city": "Moorpark",
            "state": "CA",
            "postal_code": "930212742",
            "country_code": "US",
            "telephone_number": "805-660-9077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUSSAVIAN",
        "first_name": "PARISA",
        "middle_name": "AGHDAS",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-26",
        "last_updated": "2021-06-26",
        "certification_date": "2021-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Azad Moradian, LMFT
• Ray Andres Morales
• Carolina Moreira, ADMINISTRATOR
• Julio Moreno
• Laura Morrison, PSY.D.
• Maricela Moyeda de Ray, LVN
• MSB, Inc.
• Annabelle Munoz
• Michelle E Murillo, PA-C
• Musculotendon Therapy

• General Practice Dentistry in Reseda, CA
• Providers in Reseda, 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 Jun 26, 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.