Active NPI
Pooja Aswani, DDS
- General Practice Dentistry
- Los Angeles, CA
National Provider Identifier
1306982723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 49282
- Practice address
- 2605 Basil LN
Los Angeles, CA 90077-2005 - Phone
- (310) 869-5527
- Fax
- (323) 822-1322
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 49282 | CA | Primary |
Addresses
Primary practice location
2605 Basil LN
Los Angeles, CA 90077-2005
Mailing address
2605 Basil LN
Los Angeles, CA 90077-2005
Phone (310) 869-5527
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
| License | State | Type | Specialty |
|---|---|---|---|
| 49282 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403568000000",
"number": "1306982723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2605 BASIL LN",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900772005",
"telephone_number": "310-869-5527",
"fax_number": "323-822-1322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2605 BASIL LN",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900772005",
"telephone_number": "310-869-5527",
"fax_number": "323-822-1322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASWANI",
"first_name": "POOJA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2014-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "49282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.