Pargev Davtian, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38664 Issued in CA

Practice address

1306 W Sepulveda Blvd
Harbor City, CA 90710

Phone

(310) 891-2277

Fax

(310) 891-3877

NPI assigned

Nov 24, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1336215219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 W SEPULVEDA BLVD",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "90710",
            "telephone_number": "310-891-2277",
            "fax_number": "310-891-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 W SEPULVEDA BLVD",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "90710",
            "telephone_number": "310-891-2277",
            "fax_number": "310-891-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVTIAN",
        "first_name": "PARGEV",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B3866401",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendrick Dare I
• Jellie D David, RRT, RCP
• Margaret J. David, MD
• Lalisa Davidson, RCP
• Marie Lynn Davies, PHARMD
• Lenny Nabong Dayrit, DDS
• Edilita De Boda, PAC
• Sandra Elizabeth De Guzman, CERTIFIED NURSE MIDW
• Vanessa De la Torre, LCSW
• Amar S Dean

• General Practice Dentistry in Harbor City, CA
• Providers in Harbor City, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.