Organization Active NPI

Ebi Nikjoo DDS Inc

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1285055145
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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

Updated by the provider on Dec 19, 2013

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.