Individual provider Active NPI

Ameer Baroudi, DDS, MS

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1326547373
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
103586 Issued in CA
Practice address
640 S Curson Ave Apt 308
Los Angeles, CA 90036-5923
Phone
(310) 289-3777
NPI assigned
Feb 5, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 103586 CA Primary

Addresses

Primary practice location

640 S Curson Ave Apt 308
Los Angeles, CA 90036-5923

Mailing address

640 S Curson Ave Apt 308
Los Angeles, CA 90036-5923
Phone (310) 289-3777

Other practice location 1

220 E Illinois St Apt 4707
Chicago, IL 60611-5019
Phone (312) 593-4048

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
103586CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1326547373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S CURSON AVE APT 308",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900365923",
            "telephone_number": "310-289-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S CURSON AVE APT 308",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900365923",
            "telephone_number": "310-289-3777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 E Illinois St Apt 4707",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606115019",
            "country_code": "US",
            "telephone_number": "312-593-4048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAROUDI",
        "first_name": "AMEER",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-05",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "103586",
            "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 Jun 18, 2025; 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.