Mirali Pandya, BDS, PHD, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

SP322 Issued in CA

Practice address

1034 W 34TH St #401
Los Angeles, CA 90089-0001

Phone

(213) 740-2012

NPI assigned

Sep 24, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Doctor of Philosophy

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.

• Verdugo Hills Pharmacy Inc

  dba USC Verdugo Hills Professional Pharmacy

  • Community/Retail Pharmacy
  • Glendale, CA
  • NPI 1144615550
  NPD (past)

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1215608633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S HOPE ST APT 1120",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900154694",
            "telephone_number": "972-408-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 W 34TH ST #401",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900890001",
            "telephone_number": "213-740-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDYA",
        "first_name": "MIRALI",
        "name_prefix": "Dr.",
        "credential": "BDS, PHD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2025-02-12",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "SP322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "miralipa@usc.edu",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "address_1": "925 W 34th St # 151",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900890058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephen Jacob Pandol, MD
• Maria Panduro-Morales
• Renay Alexandria Panduro
• Bhavesh Robert J. Pandya, MD, MPH
• Kruti Ameesh Pandya, M.D.
• Reeni Pandya
• Vijay Pandyarajan, MD, PHD
• Rose Marie Paneno, MD
• Andrea Pang, RN, CPNP-PC, CNS
• Ashley Rui Pang, HOUSING CASE MANAGER

• Periodontics in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.