Shamanna Mohan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29382 Issued in CA

Practice address

5399 Orange Ave
Long Beach, CA 90805

Phone

(562) 422-9698

Fax

(562) 422-9788

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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)

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.

• Ebi Nikjoo DDS Inc

  • Dentist
  • Los Angeles, CA
  • NPI 1285055145
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184733115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5399 ORANGE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908056017",
            "telephone_number": "562-422-9698",
            "fax_number": "562-422-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5399 ORANGE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90805",
            "telephone_number": "562-422-9698",
            "fax_number": "562-422-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "SHAMANNA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "29382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamed Riyaz Zavahir
• Rusaly Mohammad, PTA
• Paulean Cassie Mohammed
• Wafa Abdelmagid Mohammed, MD
• Mahima Mohan
• Adam Arash Moheban, M.D.
• Gita Mohebbi, MFT INTERN
• Yasaman Mohtasebi, M.D.
• Lida Mohtasham, M.D.
• Tangikina Utumeimoana Moimoi

• General Practice Dentistry in Long Beach, CA
• Providers in Long Beach, 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 Jul 8, 2007; 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.