Active NPI
Ashkan Foroughi, D.D.S.
- Dentist
- Tarzana, CA
National Provider Identifier
1205203304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 65023
- Practice address
- 18740 Ventura Blvd
Tarzana, CA 91356 - Phone
- (818) 960-1252
- NPI assigned
- Aug 25, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 00203260 | CO | |
| Dentist | 122300000X | 65023 | CA | Primary |
Addresses
Primary practice location
18740 Ventura Blvd
Tarzana, CA 91356
Mailing address
18231 Lake Encino Dr
Encino, CA 91316-4437
Phone (818) 804-1366
Other practice location 1
1835 S Federal Blvd
Denver, CO 80219-4953
Phone (303) 937-3750
Other practice location 2
18740 Ventura Blvd
Tarzana, CA 91356
Phone (818) 960-1252
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160505000494 | CA | Order and Referring Only - Dentist | 5193024693 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65023 | CA | MD | Dentist |
| 00203260 | CO | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1205203304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18231 LAKE ENCINO DR",
"city": "ENCINO",
"state": "CA",
"postal_code": "913164437",
"telephone_number": "818-804-1366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18740 VENTURA BLVD",
"city": "TARZANA",
"state": "CA",
"postal_code": "91356",
"telephone_number": "818-960-1252"
}
],
"practiceLocations": [
{
"address_1": "1835 S Federal Blvd",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802194953",
"country_code": "US",
"telephone_number": "303-937-3750",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18740 Ventura Blvd",
"address_purpose": "LOCATION",
"city": "Tarzana",
"state": "CA",
"postal_code": "91356",
"country_code": "US",
"telephone_number": "818-960-1252",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOROUGHI",
"first_name": "ASHKAN",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-25",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "00203260",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "65023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.