Active NPI
Deeba Danesh
- General Practice Dentistry
- Los Angeles, CA
National Provider Identifier
1235854316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 108258
- Practice address
- 2802 Woodwardia Dr
Los Angeles, CA 90077 - Phone
- (310) 819-7904
- NPI assigned
- Oct 11, 2022
- Last updated
- Oct 11, 2022
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 108258 | CA | Primary |
Addresses
Primary practice location
2802 Woodwardia Dr
Los Angeles, CA 90077
Mailing address
2802 Woodwardia Dr
Los Angeles, CA 90077
Phone (310) 819-7904
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108258 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1235854316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2802 WOODWARDIA DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90077",
"telephone_number": "310-819-7904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2802 WOODWARDIA DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90077",
"telephone_number": "310-819-7904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANESH",
"first_name": "DEEBA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-11",
"last_updated": "2022-10-11",
"certification_date": "2022-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "108258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
- Christina Elizabeth Dancz, MD
- Ann Dandrea, PHD
- Paige Toomey Dandrea
- Danelle Fisher MD Inc (Westchester Pediatric Medical Group)
- Danesh Dental Corp. (Elite Dental and Orthodontics)
- Gina Danesh, D.O.
- Jennifer Nika Danesh, MD
- Kayla Ahavah Danesh, MD
- Daneshgar Oral & Maxillofacial Surgery, Inc.
- Kourosh K Daneshgar, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.