Niloufar Kosari, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DDS107563 Issued in CA

Practice address

4401 Sepulveda Blvd Unit 203
Sherman Oaks, CA 91403-3934

Phone

(424) 288-1616

NPI assigned

May 18, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Niloufar Kosari Dental Inc

  • Dentist
  • Huntington Beach, CA
  • NPI 1831060441
  NPD Authorized official

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1194399758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 SEPULVEDA BLVD UNIT 203",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033934",
            "telephone_number": "424-288-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 SEPULVEDA BLVD UNIT 203",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033934",
            "telephone_number": "424-288-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSARI",
        "first_name": "NILOUFAR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS107563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92911948F31015",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Kootman
• Alexander Korchmarev, M.D.
• Isabella Lilliana Kordes
• Hershel Korngut
• Galena Korol, PHARMD
• Vahan Koshkaryan, MD
• Judy Koutal
• Illia Kovalev
• Josetta Rose Kovitch, PSY.D.
• Elizabeth Christine Kozarik

• Dentist in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.