Payam Shaaf, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

103817 Issued in CA

Practice address

14422 Victory Blvd
Van Nuys, CA 91401-1439

Phone

(501) 554-1840

NPI assigned

Jul 9, 2019

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• David Rabizadeh, DDS, a Professional Dental Corporation

  • Dentist
  • Los Angeles, CA
  • NPI 1346303112
  NPD (past)

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1255983433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 1/2 N VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292620",
            "telephone_number": "323-953-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14422 VICTORY BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011439",
            "telephone_number": "501-554-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAAF",
        "first_name": "PAYAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-09",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "103817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarissa Laura Setiomiguno
• Linda J Sevilla, M.D.
• Roger W Seward
• SFV Hospice Care Inc
• SFV Medical Transportation Inc.
• Victoria Shabanzadeh, PHD
• Patrick Logan Shackelford
• Shady Garden Senior Care
• Natalie Kaitlyn Shaffer
• Annemarie Shah, LVN

• Dentist in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.