Active NPI
Assal Hakhamjani, D.D.S.
- Pediatric Dentistry
- Los Angeles, CA
National Provider Identifier
1255699955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 65095
- Practice address
- 8525 W Pico Blvd
Los Angeles, CA 90035-2409 - Phone
- (424) 232-0958
- NPI assigned
- May 1, 2012
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 65095 | CA | Primary |
Addresses
Primary practice location
8525 W Pico Blvd
Los Angeles, CA 90035-2409
Mailing address
8525 W Pico Blvd
Los Angeles, CA 90035-2409
Phone (424) 274-3260
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 |
|---|---|---|---|
| 65095 | CA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639958400000",
"number": "1255699955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8525 W PICO BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900352409",
"telephone_number": "424-274-3260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8525 W PICO BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900352409",
"telephone_number": "424-232-0958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAKHAMJANI",
"first_name": "ASSAL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-01",
"last_updated": "2021-12-20",
"certification_date": "2021-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "65095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.