Active NPI
Ebi Nikjoo DDS Inc
- Dentist
- Los Angeles, CA
National Provider Identifier
1285055145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- EBI NIKJOO DDS INC
- Practice address
- 10921 Wilshire Blvd
#601
Los Angeles, CA 90024-3906 - Phone
- (310) 208-8551
- Fax
- (818) 881-9005
- NPI assigned
- Dec 19, 2013
- 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
- Mr. Ebi Donovan Nikjoo, D.D.S.
- Title
- Dentist
- Phone
- (310) 208-8551
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
10921 Wilshire Blvd
#601
Los Angeles, CA 90024-3906
Mailing address
10921 Wilshire Blvd
#601
Los Angeles, CA 90024-3906
Phone (310) 208-8551
National Provider Directory
National Provider DirectoryLocations
14285 Amar Rd
La Puente, CA 91746
Phone (626) 917-9308
13549 Roscoe Blvd
Panorama City, CA 91402
Phone (818) 782-5501
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Panorama City, CA
- NPI 1780890699
-
- General Practice Dentistry
- Long Beach, CA
- NPI 1184733115
-
- General Practice Dentistry
- Panorama City, CA
- NPI 1760694251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1387411200000",
"number": "1285055145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10921 WILSHIRE BLVD",
"address_2": "#601",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900243906",
"telephone_number": "310-208-8551",
"fax_number": "818-881-9005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10921 WILSHIRE BLVD",
"address_2": "#601",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900243906",
"telephone_number": "310-208-8551",
"fax_number": "818-881-9005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EBI NIKJOO DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-19",
"last_updated": "2013-12-19",
"status": "A",
"authorized_official_last_name": "NIKJOO",
"authorized_official_first_name": "EBI",
"authorized_official_middle_name": "DONOVAN",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "310-208-8551",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"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 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.