Individual provider Active NPI

Ferras Chawki Mashtoub, DDS

  • General Practice Dentistry
  • Reseda, CA
National Provider Identifier
1295931327
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55028 Issued in CA
Practice address
19231 Victory Blvd Ste 352
Reseda, CA 91335-6352
Phone
(818) 654-6136
NPI assigned
Jun 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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 55028 CA Primary

Addresses

Primary practice location

19231 Victory Blvd Ste 352
Reseda, CA 91335-6352

Mailing address

19231 Victory Blvd Ste 352
Reseda, CA 91335-6352
Phone (818) 654-6136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
55028CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ferras Mashtoub, DDS Inc. CurrentSince Feb 25, 2024 Accepting new patients
Joseph Barry Wechsler DDS a Dental Corporation PastSince Aug 17, 2025 Accepting new patients

Locations

19231 Victory Blvd
Ste 352
Reseda, CA 91335
Phone (818) 378-5938

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1295931327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19231 VICTORY BLVD STE 352",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356352",
            "telephone_number": "818-654-6136",
            "fax_number": "818-654-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19231 VICTORY BLVD STE 352",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356352",
            "telephone_number": "818-654-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASHTOUB",
        "first_name": "FERRAS",
        "middle_name": "CHAWKI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.