Active NPI
Niosha Vakilian, DDS
- Dentist
- Northridge, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 64688
- Practice address
- 18450 Dearborn St
Northridge, CA 91325-2259 - Phone
- (818) 736-9339
- NPI assigned
- Dec 29, 2015
- Last updated
- Aug 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 64688 | CA | Primary |
| General Practice Dentistry | 1223G0001X | 33764 | TX |
Addresses
Primary practice location
18450 Dearborn St
Northridge, CA 91325-2259
Mailing address
19737 Crystal Hills LN
Northridge, CA 91326
Phone (818) 876-2947
Other practice location 1
2131 N Collins St Ste 415
Arlington, TX 76011-2811
Phone (817) 801-1382
Other practice location 2
1425 N 0'Connor Rd
irving, TX 75061
Phone (214) 492-1171
Other practice location 3
13431 Telegraph Rd
Whittier, CA 90605-3435
Phone (562) 946-2838
Other practice location 4
5006 Wesley St
Greenville, TX 75402-6307
Phone (903) 454-2336
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205291671 | Medicaid | CA |
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 |
|---|---|---|---|---|
| I20160113001770 | CA | Order and Referring Only - Dentist | 9830491471 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64688 | CA | MD | Dentist |
| 33764 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Niosha Vakilian Dental Group, Inc | Current | Accepting new patients | |
| Edalat Dental Group, Apc | Current | Accepting new patients | |
| Novasmile Dental PLLC | General Practice | Current | Accepting new patients |
| Sorour D.M.D P,C | Dentist | Past | Accepting new patients |
| Saman Edalat DDS Inc. | Dentist | Past | Accepting new patients |
Locations
18450 Dearborn St
Northridge, CA 91325
Phone (310) 999-9669
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Valencia, CA
- NPI 1447968540
-
- Dental Clinic/Center
- Northridge, CA
- NPI 1730794801
-
- General Practice Dentistry
- Arlington, TX
- NPI 1740844760
-
- Dentist
- Whittier, CA
- NPI 1063752079
-
- Dentist
- Northridge, CA
- NPI 1013362854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1205291671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19737 CRYSTAL HILLS LN",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "91326",
"telephone_number": "818-876-2947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18450 DEARBORN ST",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913252259",
"telephone_number": "818-736-9339"
}
],
"practiceLocations": [
{
"address_1": "2131 N Collins St Ste 415",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "TX",
"postal_code": "760112811",
"country_code": "US",
"telephone_number": "817-801-1382",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1425 N 0'Connor Rd",
"address_purpose": "LOCATION",
"city": "irving",
"state": "TX",
"postal_code": "75061",
"country_code": "US",
"telephone_number": "214-492-1171",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13431 Telegraph Rd",
"address_purpose": "LOCATION",
"city": "Whittier",
"state": "CA",
"postal_code": "906053435",
"country_code": "US",
"telephone_number": "562-946-2838",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5006 Wesley St",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "TX",
"postal_code": "754026307",
"country_code": "US",
"telephone_number": "903-454-2336",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAKILIAN",
"first_name": "NIOSHA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-29",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "64688",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "33764",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1205291671",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.