Ramin Assili Damavandi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

40135 Issued in CA

Practice address

9535 Reseda Blvd Ste 203
Northridge, CA 91324-6027

Phone

(818) 349-6373

Fax

(818) 349-7539

NPI assigned

Feb 15, 2007

Last updated

Jun 7, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michel Elyson DDS & Ramin Assili DDS,a Professional Corporation

  • Dentist
  • Northridge, CA
  • NPI 1922513225
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1235272287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9535 RESEDA BLVD STE 203",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913246027",
            "telephone_number": "818-349-6373",
            "fax_number": "818-349-7539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9535 RESEDA BLVD STE 203",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913246027",
            "telephone_number": "818-349-6373",
            "fax_number": "818-349-7539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASSILI DAMAVANDI",
        "first_name": "RAMIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "40135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Ascon
• Asher H. Taban, M.D., Inc.
• Albert Askarinam, M.D.
• Asnd, LLC (The Gardens Healthcare Center)
• Aspire Care Services, LLC
• Anett Abrahamian Assilian, PSY.D.
• Assist Transit, LLC
• Michael Assouri, D.C.
• Michael Anthony Astete, DDS
• Atc Palliative Care Inc.

• Dentist in Northridge, CA
• Providers in Northridge, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.