Individual provider Active NPI

Ruhee Jaffer, DDS

  • General Practice Dentistry
  • West Hollywood, CA
National Provider Identifier
1194367623
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
106021 Issued in CA
Practice address
900 N la Brea Ave Ste 5
West Hollywood, CA 90038-2322
Phone
(703) 994-0518
NPI assigned
Oct 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401416723 VA
General Practice Dentistry 1223G0001X 106021 CA Primary

Addresses

Primary practice location

900 N la Brea Ave Ste 5
West Hollywood, CA 90038-2322

Mailing address

912 N San Vicente Blvd Apt 1
Los Angeles, CA 90069-3890
Phone (703) 994-0518

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210713002070 CA Order and Referring Only - DentistPractitioner - Dentist 5294137238

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401416723VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ruhee Jaffer DDS, PC General Practice CurrentSince Nov 5, 2023 Accepting new patients

Locations

900 N La Brea Ave
Ste 5
West Hollywood, CA 90038
Phone (323) 785-3065

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1194367623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 N SAN VICENTE BLVD APT 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900693890",
            "telephone_number": "703-994-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N LA BREA AVE STE 5",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900382322",
            "telephone_number": "703-994-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFFER",
        "first_name": "RUHEE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2023-11-01",
        "certification_date": "2023-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416723",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.