Shahriyar Behjou, DDS, MSC

Primary specialty

DentistTaxonomy code 122300000X

License

41352 Issued in CA

Practice address

10755 Lower Azusa Rd
#B
El Monte, CA 91731-1300

Phone

(626) 448-2040

Fax

(626) 448-9535

NPI assigned

Feb 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1326174236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 S GRETNA GREEN WAY",
            "address_2": "#101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495268",
            "telephone_number": "310-826-0151",
            "fax_number": "626-448-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10755 LOWER AZUSA RD",
            "address_2": "#B",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917311300",
            "telephone_number": "626-448-2040",
            "fax_number": "626-448-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHJOU",
        "first_name": "SHAHRIYAR",
        "name_prefix": "Dr.",
        "credential": "DDS, MSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "41352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA  DENTAL LICENS",
            "identifier": "41352",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "G-9149701",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Barrera
• Maya Barrientos
• Juan-Carlos Barrios
• Kyle Martin Baughman
• Mauva Joan Beharie, N.P.
• Nazanine Behnamfar
• La Treece Renee Bell, RAS
• Belleza Latina Surgery Center
• Josefina Beltran, RN
• Davidia Renee Benavidez, LMFT

• Dentist in El Monte, CA
• Providers in El Monte, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.