Individual provider Active NPI

Lianna Damargi

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1174294052
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS043388 Issued in PA
Practice address
2650 Griffith Park Blvd
Los Angeles, CA 90039-2520
Phone
(323) 660-5522
NPI assigned
Sep 21, 2021
Last updated
Nov 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
063637NYMDDentist
DS043388PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lianna Damargi, DDS CurrentSince Dec 21, 2025 Accepting new patients
Gayane Matuliandds PastSince Nov 24, 2025 Accepting new patients
Vestal Dental Associates PC Dentist PastSince Nov 19, 2023 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.

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.

Verify at the official NPI Registry.