Active NPI
Delaram Ganji
- Dental Hygienist
- Valley Glen, CA
National Provider Identifier
1235536129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 28115
- Practice address
- 5636 Matilija Ave
Valley Glen, CA 91401-4718 - Phone
- (310) 430-6974
- NPI assigned
- Nov 20, 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 28115 | CA | Primary |
Addresses
Primary practice location
5636 Matilija Ave
Valley Glen, CA 91401-4718
Mailing address
5636 Matilija Ave
Valley Glen, CA 91401-4718
Phone (310) 430-6974
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416441600000",
"number": "1235536129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5636 MATILIJA AVE",
"city": "VALLEY GLEN",
"state": "CA",
"postal_code": "914014718",
"telephone_number": "310-430-6974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5636 MATILIJA AVE",
"city": "VALLEY GLEN",
"state": "CA",
"postal_code": "914014718",
"telephone_number": "310-430-6974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANJI",
"first_name": "DELARAM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-20",
"last_updated": "2014-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "28115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valley Glen, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.