Individual provider Active NPI

Hossein Javid, DDS

  • Dentist
  • Inglewood, CA
National Provider Identifier
1295958353
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
48616 Issued in CA
Practice address
11976 Aviation Blvd
Inglewood, CA 90304
Phone
(310) 643-6221
Fax
(310) 643-6229
NPI assigned
Apr 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 48616 CA Primary

Addresses

Primary practice location

11976 Aviation Blvd
Inglewood, CA 90304

Mailing address

11976 Aviation Blvd
Inglewood, CA 90304
Phone (310) 643-6221

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Javid Brothers Dentist CurrentSince May 1, 2013 Accepting new patients
Hossein Javid, DDS, Inc CurrentSince Dec 10, 2009 Accepting new patients

Locations

11976 Aviation Blvd
Inglewood, CA 90304
Phone (310) 643-6221

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1295958353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11976 AVIATION BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "90304",
            "telephone_number": "310-643-6221",
            "fax_number": "310-643-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11976 AVIATION BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "90304",
            "telephone_number": "310-643-6221",
            "fax_number": "310-643-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVID",
        "first_name": "HOSSEIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "48616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.