Ghazaleh Shahriari Ahmadi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

61449 Issued in CA

Practice address

8110 W 83Rd St Apt 1
Playa del Rey, CA 90293-7855

Phone

(310) 936-3262

NPI assigned

Sep 2, 2012

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: ghazaleh.shahriariahmadi.p1@direct.nevhc.nextgenshare.com

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

{
    "created_epoch": "1346544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1174872428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 W 83RD ST APT 1",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937855",
            "telephone_number": "310-936-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 W 83RD ST APT 1",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937855",
            "telephone_number": "310-936-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHRIARI AHMADI",
        "first_name": "GHAZALEH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-02",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Kathleen Rogers, LCSW;DCSW;BCD
• Vanessa Roman
• David Edmund Schwarting, D.D.S.
• Christine Sefein
• Sydney Selecky, MA
• James Nance Sherer, CRNA
• Ashley Marie-Nichole Smith, RN
• Malika Stewart-Bey, LMFT
• Tabby L. Stone, MD
• Sunbridge Hallmark Health Services LLC

• Dentist in Playa del Rey, CA
• Providers in Playa del Rey, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.

Verify at the official NPI Registry.