Active NPI
Nicole Azarian, DDS
- Dentist
- Beverly Hills, CA
National Provider Identifier
1245609874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 65163
- Practice address
- 268 S Lasky Dr Apt 204
Beverly Hills, CA 90212-3674 - Phone
- (310) 499-8106
- NPI assigned
- Sep 24, 2015
- Last updated
- Sep 24, 2015
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 65163 | CA | Primary |
Addresses
Primary practice location
268 S Lasky Dr Apt 204
Beverly Hills, CA 90212-3674
Mailing address
PO Box 6248
Beverly Hills, CA 90212-1248
Phone (310) 499-8106
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161021001123 | CA | Order and Referring Only - Oral Surgery | 4981982162 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65163 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443052800000",
"number": "1245609874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6248",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902121248",
"telephone_number": "310-499-8106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "268 S LASKY DR APT 204",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902123674",
"telephone_number": "310-499-8106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZARIAN",
"first_name": "NICOLE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-24",
"last_updated": "2015-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "65163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.