Individual provider Active NPI

Ghazal Rokhsar, D.D.S.

  • Dentist
  • South El Monte, CA
National Provider Identifier
1255631131
Registry record updated Feb 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
59947 Issued in CA
Practice address
1723 Durfee Ave
South El Monte, CA 91733-4557
Phone
(310) 980-5046
NPI assigned
Oct 26, 2010
Last updated
Feb 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 59947 CA Primary

Addresses

Primary practice location

1723 Durfee Ave
South El Monte, CA 91733-4557

Mailing address

1103 Roscomare Rd
Los Angeles, CA 90077-2229
Phone (310) 980-5046

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

LicenseStateTypeSpecialty
59947CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519603200000",
    "number": "1255631131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 ROSCOMARE RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900772229",
            "telephone_number": "310-980-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 DURFEE AVE",
            "city": "SOUTH EL MONTE",
            "state": "CA",
            "postal_code": "917334557",
            "telephone_number": "310-980-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROKHSAR",
        "first_name": "GHAZAL",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-26",
        "last_updated": "2018-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "59947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; 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.