NPIMap

Organization Active NPI

Afshin Doostan,DDS,Inc.

  • Dentist
  • Van Nuys, CA
National Provider Identifier
1184815979
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
46051 Issued in CA
Legal business name
AFSHIN DOOSTAN,DDS,INC.
Practice address
6330 Van Nuys Blvd
B
Van Nuys, CA 91401-2610
Phone
(818) 785-9944
Fax
(818) 785-9922
NPI assigned
Aug 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Authorized official

Name
Dr. Afshin Doostan, D.D.S.NPI 1659466456
Title
President
Phone
(818) 785-9944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 46051 CA Primary

Addresses

Primary practice location

6330 Van Nuys Blvd
B
Van Nuys, CA 91401-2610

Mailing address

6330 Van Nuys Blvd
B
Van Nuys, CA 91401-2610
Phone (818) 785-9944

Other identifiers 1

IdentifierTypeStateIssuer
B46051-01MedicaidCA

Other names 1

  • Golden Care Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Afshin Doostan DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1184815979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 VAN NUYS BLVD",
            "address_2": "B",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012610",
            "telephone_number": "818-785-9944",
            "fax_number": "818-785-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 VAN NUYS BLVD",
            "address_2": "B",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012610",
            "telephone_number": "818-785-9944",
            "fax_number": "818-785-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFSHIN DOOSTAN,DDS,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "DOOSTAN",
        "authorized_official_first_name": "AFSHIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-785-9944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "46051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B46051-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Care Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Van Nuys, CA

Sources for this page

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