Active NPI
Jaleh Jasmin Gandjeh, RDHAP
- Dental Hygienist
- Reseda, CA
National Provider Identifier
1255486379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- HAP 25
- Practice address
- 18210 Sherman Way
Suite# 207
Reseda, CA 91335-4554 - Phone
- (818) 344-1121
- Fax
- (818) 344-1131
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- Sole proprietor
- No
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 | HAP 25 | CA | Primary |
Addresses
Primary practice location
18210 Sherman Way
Suite# 207
Reseda, CA 91335-4554
Mailing address
21157 Lassen St
Unit # 2
Chatsworth, CA 91311-6813
Phone (818) 344-1121
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 |
|---|---|---|---|
| HAP 25 | CA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jaleh Jasmin Gandjeh, Rdhap, Inc. | Dental Hygienist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Hygienist
- Reseda, CA
- NPI 1205026739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255486379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21157 LASSEN ST",
"address_2": "UNIT # 2",
"city": "CHATSWORTH",
"state": "CA",
"postal_code": "913116813",
"telephone_number": "818-344-1121",
"fax_number": "818-344-1131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18210 SHERMAN WAY",
"address_2": "SUITE# 207",
"city": "RESEDA",
"state": "CA",
"postal_code": "913354554",
"telephone_number": "818-344-1121",
"fax_number": "818-344-1131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANDJEH",
"first_name": "JALEH",
"middle_name": "JASMIN",
"name_prefix": "Ms.",
"credential": "RDHAP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "HAP 25",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reseda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.