Active NPI
Atosa Mehrfar, DDS
- Endodontics
- Cerritos, CA
National Provider Identifier
1225453327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 61971
- Practice address
- 13079 Artesia Blvd Ste B120
Cerritos, CA 90703-1483 - Phone
- (562) 924-7594
- NPI assigned
- Feb 26, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 61971 | CA | Primary |
Addresses
Primary practice location
13079 Artesia Blvd Ste B120
Cerritos, CA 90703-1483
Mailing address
13079 Artesia Blvd Ste B120
Cerritos, CA 90703-1483
Phone (562) 924-7594
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 |
|---|---|---|---|---|
| I20160714002522 | CA | Order and Referring Only - Other (Physician) | 8628360401 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1225453327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13079 ARTESIA BLVD STE B120",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907031483",
"telephone_number": "562-924-7594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13079 ARTESIA BLVD STE B120",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907031483",
"telephone_number": "562-924-7594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHRFAR",
"first_name": "ATOSA",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-26",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "61971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.