Individual provider Active NPI

Tania Serah Ohebsion, DDS

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1295072734
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61560 Issued in CA
Practice address
1125 S Beverly Dr Ste 400
Los Angeles, CA 90035-1152
Phone
(310) 286-7447
NPI assigned
Jan 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 61560 CA Primary

Addresses

Primary practice location

1125 S Beverly Dr Ste 400
Los Angeles, CA 90035-1152

Mailing address

1125 S Beverly Dr Ste 400
Los Angeles, CA 90035-1152
Phone (310) 286-7447

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160728001320 CA Order and Referring Only - DentistPractitioner - Dentist 5597058586

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61560CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1295072734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 S BEVERLY DR STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351152",
            "telephone_number": "310-286-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 S BEVERLY DR STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351152",
            "telephone_number": "310-286-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHEBSION",
        "first_name": "TANIA",
        "middle_name": "SERAH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-03",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.