Active NPI
Sharyar Baradaran, DDS. MS.
- Periodontics
- Beverly Hills, CA
National Provider Identifier
1174760185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 41059
- Practice address
- 120 S. Spalding Drive
Suite 201
Beverly Hills, CA 90212-1840 - Phone
- (310) 903-7674
- NPI assigned
- Jan 13, 2009
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 41059 | CA | Primary |
Addresses
Primary practice location
120 S. Spalding Drive
Suite 201
Beverly Hills, CA 90212-1840
Mailing address
120 S Spalding Dr Ste 201
Beverly Hills, CA 90212-1840
Phone (310) 903-7674
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 |
|---|---|---|---|---|
| I20210107001050 | CA | Practitioner - Oral Surgery | 3678985215 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1174760185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 S SPALDING DR STE 201",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902121840",
"telephone_number": "310-903-7674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 S. SPALDING DRIVE",
"address_2": "SUITE 201",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902121840",
"telephone_number": "310-903-7674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARADARAN",
"first_name": "SHARYAR",
"name_prefix": "Dr.",
"credential": "DDS. MS.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-13",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "41059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.