Individual provider Active NPI

Arash Jahanbakhsh, DMD

  • Endodontics
  • Artesia, CA
National Provider Identifier
1316490519
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
100492 Issued in CA
Practice address
11635 South St
Artesia, CA 90701-6628
Phone
(310) 409-4265
NPI assigned
Jul 25, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 100492 CA Primary

Addresses

Primary practice location

11635 South St
Artesia, CA 90701-6628

Mailing address

22300 Mobile St
Woodland Hills, CA 91303-2426
Phone (818) 357-0369

Other practice location 1

43456 10th St W
Lancaster, CA 93534-6004
Phone (720) 414-5475

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

NPI Registry JSON

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1316490519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22300 MOBILE ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913032426",
            "telephone_number": "818-357-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11635 SOUTH ST",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907016628",
            "telephone_number": "310-409-4265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43456 10th St W",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935346004",
            "country_code": "US",
            "telephone_number": "720-414-5475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAHANBAKHSH",
        "first_name": "ARASH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-25",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "100492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Artesia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.