Individual provider Active NPI

Ashkan Foroughi, D.D.S.

  • Dentist
  • Tarzana, CA
National Provider Identifier
1205203304
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
65023 Issued in CA
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

Updated by the provider on Jul 21, 2022

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160505000494 CA Order and Referring Only - DentistPractitioner - Dentist 5193024693

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
65023CAMDDentist
00203260COMDGeneral 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

Verify at the official NPI Registry.