Shahla Izadian, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

110773 Issued in CA

Practice address

355 Placentia Ave Ste 207B
Newport Beach, CA 92663-3313

Phone

(949) 646-4868

NPI assigned

Feb 5, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1285497800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 PLACENTIA AVE STE 207B",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633313",
            "telephone_number": "949-646-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 PLACENTIA AVE STE 207B",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633313",
            "telephone_number": "949-646-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZADIAN",
        "first_name": "SHAHLA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN10000586",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "110773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Dana Iverson, PH.D.
• Ramon Lawrence Ivey, LMFT
• Ivy Health Inc.
• Kris V Iyer, M.D.
• Lori J Izabal, M.D.
• J Robert West, M.D., Inc (Southern California Dermatology)
• J. Donald Turner, D.D.S., Inc.
• J. Michael Leary, M.D., Inc
• Ja Hospice
• Janaia Jabril

• Dentist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.