Organization Active NPI

S. Shaun Daneshgar DMD Inc

  • Dental Clinic/Center
  • Huntington Park, CA
National Provider Identifier
1235607425
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
S. SHAUN DANESHGAR DMD INC
Practice address
2771 E Florence Ave Ste E
Huntington Park, CA 90255-5750
Phone
(310) 701-0770
NPI assigned
Nov 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Authorized official

Name
Mr. Michael Daneshgar
Title
Office Manager
Phone
(310) 701-0770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2771 E Florence Ave Ste E
Huntington Park, CA 90255-5750

Mailing address

2771 E Florence Ave Ste E
Huntington Park, CA 90255-5750
Phone (310) 701-0770

National Provider Directory

National Provider Directory

Locations

2771 E Florence Ave
Huntington Park, CA 90255
Phone (323) 582-1414

2771 E Florence Ave
Ste E
Huntington Park, CA 90255
Phone (310) 701-0770

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": "1541462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1235607425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2771 E FLORENCE AVE STE E",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555750",
            "telephone_number": "310-701-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2771 E FLORENCE AVE STE E",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555750",
            "telephone_number": "310-701-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. SHAUN DANESHGAR DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-06",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "DANESHGAR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-701-0770",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.