Shabnam O Iraninejad, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37470 Issued in CA

Practice address

4305 Torrance Blvd
Suite 103
Torrance, CA 90503-4409

Phone

(310) 542-5155

Fax

(310) 542-5118

NPI assigned

Feb 16, 2007

Last updated

Jun 6, 2016By the provider in NPPES

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

Other names 1

• Shawna Omid Professional name

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Shawna Omid DDS

  • Dentist
  • Torrance, CA
  • NPI 1619324480
  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1225172968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 TORRANCE BLVD",
            "address_2": "SUITE 103",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034409",
            "telephone_number": "310-542-5155",
            "fax_number": "310-542-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 TORRANCE BLVD",
            "address_2": "SUITE 103",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034409",
            "telephone_number": "310-542-5155",
            "fax_number": "310-542-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRANINEJAD",
        "first_name": "SHABNAM",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWNA",
            "last_name": "OMID",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jenny Lia Inugay
• Ion Health, Inc. (Ion Integrative Pharmacy)
• Eli Ipp, M.D.
• Samad Iqbal
• Iraj Akhlaghi M.D. Inc.
• Fathieh Irannejad, ETC.
• James Courtland Irby, MS, CRC
• Madison Irvin, MSW, ACSW
• Brittany Irvine, M.A.
• Irwin Savodnik, M.D. & Med. Assoc., Inc.

• General Practice Dentistry in Torrance, CA
• Providers in Torrance, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.

Verify at the official NPI Registry.