Active NPI
Shahrokh Jedian DDS
- General Practice Dentistry
- Los Angeles, CA
National Provider Identifier
1275779795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- SHAHROKH JEDIAN DDS
- Practice address
- 998 S Robertson Blvd
Los Angeles, CA 90035-1637 - Phone
- (310) 358-1200
- NPI assigned
- Jan 5, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shahrokh Jedian
- Title
- President
- Phone
- (310) 404-6476
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
998 S Robertson Blvd
Los Angeles, CA 90035-1637
Mailing address
998 S Robertson Blvd
Los Angeles, CA 90035-1637
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407052814 | Other | CA | NPI |
National Provider Directory
National Provider DirectoryLocations
998 S Robertson Blvd
Los Angeles, CA 90035
Phone (310) 358-1200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Los Angeles, CA
- NPI 1194944769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231113600000",
"number": "1275779795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "998 S ROBERTSON BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900351637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "998 S ROBERTSON BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900351637",
"telephone_number": "310-358-1200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAHROKH JEDIAN DDS",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-05",
"last_updated": "2009-01-05",
"status": "A",
"authorized_official_last_name": "JEDIAN",
"authorized_official_first_name": "SHAHROKH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-404-6476"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1407052814",
"state": "CA"
}
],
"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 Jan 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.