Organization Active NPI

Fereshteh Yousefzadeh, DDS, MSD, Inc

Doing business as Brentwood Family Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Los Angeles, CA
National Provider Identifier
1225805997
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
FERESHTEH YOUSEFZADEH, DDS, MSD, INC
Doing business as
Brentwood Family Orthodontics
Practice address
10884 Santa Monica Blvd Ste 401
Los Angeles, CA 90025-7639
Phone
(310) 750-4621
NPI assigned
Dec 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Dr. Fereshteh Yousefzadeh, DDS, MSDNPI 1205019072
Title
Orthodontist
Phone
(310) 795-1319

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

10884 Santa Monica Blvd Ste 401
Los Angeles, CA 90025-7639

Mailing address

900 N Tigertail Rd
Los Angeles, CA 90049-1419
Phone (310) 795-1319

Other names 1

  • Brentwood Family Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

10884 Santa Monica Blvd
Ste 401
Los Angeles, CA 90025
Phone (310) 446-4410

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1225805997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N TIGERTAIL RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900491419",
            "telephone_number": "310-795-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10884 SANTA MONICA BLVD STE 401",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257639",
            "telephone_number": "310-750-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERESHTEH YOUSEFZADEH, DDS, MSD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "YOUSEFZADEH",
        "authorized_official_first_name": "FERESHTEH",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "310-795-1319",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brentwood Family Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.