Individual provider Active NPI

Emil Jacob Simanian, DDS

  • Dentist
  • Santa Clarita, CA
National Provider Identifier
1295246676
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
101821 Issued in CA
Practice address
23107 Lyons Ave
Santa Clarita, CA 91321-2630
Phone
(661) 254-3516
NPI assigned
Oct 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 101821 CA Primary

Addresses

Primary practice location

23107 Lyons Ave
Santa Clarita, CA 91321-2630

Mailing address

23107 Lyons Ave
Santa Clarita, CA 91321-2630
Phone (661) 254-3516

Other practice location 1

9400 Brighton Way Ste 210
Beverly Hills, CA 90210-4709
Phone (310) 270-4222

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
I20251126002257 CA Practitioner - Dentist 1850883760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

23107 Lyons Ave
Newhall, CA 91321-2630

23107 Lyons Ave
Newhall, CA 91321-2697

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101821CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Emil J Simanian D.D.S., Inc. CurrentSince Sep 3, 2025 Accepting new patients

Locations

23107 Lyons Ave
Santa Clarita, CA 91321
Phone (661) 254-3516

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1295246676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23107 LYONS AVE",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913212630",
            "telephone_number": "661-254-3516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23107 LYONS AVE",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913212630",
            "telephone_number": "661-254-3516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9400 Brighton Way Ste 210",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902104709",
            "country_code": "US",
            "telephone_number": "310-270-4222",
            "fax_number": "310-270-4222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMANIAN",
        "first_name": "EMIL",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "101821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.