Individual provider Active NPI

Kambiz Kamangar, DDS

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1306169180
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
59184 Issued in CA
Practice address
3400 Cahuenga BVLD West
#310
Los Angeles, CA 90068
Phone
(602) 290-9861
NPI assigned
Mar 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 59184 CA Primary

Addresses

Primary practice location

3400 Cahuenga BVLD West
#310
Los Angeles, CA 90068

Mailing address

3400 Cahuenga BVLD West
#310
Los Angeles, CA 90068
Phone (602) 290-9861

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

Practice roles

OrganizationSpecialtyStatusNew patients
Royalty Dental CurrentSince Jun 30, 2024 Accepting new patients

Locations

17300 Saticoy St
Van Nuys, CA 91406
Phone (818) 705-6565

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1306169180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CAHUENGA BVLD WEST",
            "address_2": "#310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90068",
            "telephone_number": "602-290-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CAHUENGA BVLD WEST",
            "address_2": "#310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90068",
            "telephone_number": "602-290-9861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMANGAR",
        "first_name": "KAMBIZ",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "59184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.