Mohamad Ali Reshad, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00011096 Issued in WA

Practice address

3151S Hoover St
Los Angeles, CA 90089-7792

Phone

(213) 740-7405

NPI assigned

Mar 22, 2010

Sex

Male

Sole proprietor

No

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)

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.

• Flowmd Wellness Center PC

  • Health Service Clinic/Center
  • Sunnyvale, CA
  • NPI 1588389241
  NPD (past)
• University of Southern California

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1285707158
  NPD (past)
• Verdugo Hills Pharmacy Inc

  • Community/Retail Pharmacy
  • Glendale, CA
  • NPI 1144615550
  NPD (past)

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269216000000",
    "number": "1295059152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151S HOOVER ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900897792",
            "telephone_number": "213-740-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151S HOOVER ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900897792",
            "telephone_number": "213-740-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESHAD",
        "first_name": "MOHAMAD",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-22",
        "last_updated": "2010-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00011096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Resiliency Shoppe Marriage and Family Therapy Inc
• Resilient Agency
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• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.