Afshin Mazdeyasnan, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

41114 Issued in CA

Practice address

18250 Roscoe Blvd Ste 345
Northridge, CA 91325-4283

Phone

(818) 885-3636

Fax

(818) 885-1236

NPI assigned

Jan 2, 2007

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 24, 2019 through Apr 24, 2027

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Afshin Mazdeyasnan DDS a Prof Dental Corp

  • Endodontics
  • Northridge, CA
  • NPI 1831250208
  NPD (past) Authorized official
• Afshin Mazdeyasnan DDS Inc

  • General Practice Dentistry
  • San Fernando, CA
  • NPI 1427110873
  NPD (past) Authorized official
• Arman Petrosyan D.D.S. Inc

  • Dentist
  • San Fernando, CA
  • NPI 1699968149
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1245397975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18250 ROSCOE BLVD STE 345",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254283",
            "telephone_number": "818-885-3636",
            "fax_number": "818-885-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18250 ROSCOE BLVD STE 345",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254283",
            "telephone_number": "818-885-3636",
            "fax_number": "818-885-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZDEYASNAN",
        "first_name": "AFSHIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "41114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maximus Recovery Center
• Jack Mayhall, LMFT
• Amanda Maynard, PSYD
• Karen Mayorga, BA
• Christopher Mays-Rico
• Majestique McCrimmon
• Esther Arias McDowell
• McElroy Anesthesia Services Inc
• Terry M McElroy, CRNA
• Shannon M McFarland, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.