Active NPI
Lianna Damargi
- Dentist
- Los Angeles, CA
National Provider Identifier
1174294052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS043388
- Practice address
- 2650 Griffith Park Blvd
Los Angeles, CA 90039-2520 - Phone
- (323) 660-5522
- NPI assigned
- Sep 21, 2021
- Last updated
- Nov 18, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 063637 | NY | |
| Dentist | 122300000X | DS043388 | PA | Primary |
Addresses
Primary practice location
2650 Griffith Park Blvd
Los Angeles, CA 90039-2520
Mailing address
533 Clayton Ave
Vestal, NY 13850-3105
Other practice location 1
400 Wyoming Ave Ste 300
Scranton, PA 18503-1238
Phone (818) 319-3555
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 |
|---|---|---|---|
| 063637 | NY | MD | Dentist |
| DS043388 | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lianna Damargi, DDS | Current | Accepting new patients | |
| Gayane Matuliandds | Past | Accepting new patients | |
| Vestal Dental Associates PC | Dentist | Past | Accepting new patients |
Locations
2650 Griffith Park Blvd
Los Angeles, CA 90039
Phone (323) 660-5522
Organizations & group practices 3
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.
-
- Dental Clinic/Center
- Los Angeles, CA
- NPI 1700740453
-
- General Practice Dentistry
- Los Angeles, CA
- NPI 1649781758
-
- Dentist
- Vestal, NY
- NPI 1720107568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763424000000",
"number": "1174294052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 CLAYTON AVE",
"city": "VESTAL",
"state": "NY",
"postal_code": "138503105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 GRIFFITH PARK BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900392520",
"telephone_number": "323-660-5522"
}
],
"practiceLocations": [
{
"address_1": "400 Wyoming Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Scranton",
"state": "PA",
"postal_code": "185031238",
"country_code": "US",
"telephone_number": "818-319-3555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAMARGI",
"first_name": "LIANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-21",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "063637",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS043388",
"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 Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.