Nima Elazar Shayesteh, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

57035 Issued in CA

Practice address

10842 Washington Blvd
Culver City, CA 90232-3610

Phone

(424) 361-5218

NPI assigned

Jun 13, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Picassosmiles

  • Dentist
  • Los Angeles, CA
  • NPI 1306165964
  NPD (past) Authorized official
• Access Dental of Trawood PLLC

  • Dentist
  • El Paso, TX
  • NPI 1972110039
  NPD (past)

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1336309285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8863 ALCOTT ST APT 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900353368",
            "telephone_number": "310-663-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10842 WASHINGTON BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323610",
            "telephone_number": "424-361-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAYESTEH",
        "first_name": "NIMA",
        "middle_name": "ELAZAR",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-13",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "57035",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "57035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nafisa Sharmin
• Sharona Yashar, MD Inc
• Ashley Charise Shattles
• Tracy Denise Shaw, PH.D.
• Shayesteh & Shams Culver City Dental Corporation
• John Shearer
• Jasper Sheff
• Aminatu Jamila Shehu, M.D.
• Mehran Shei, D.C.
• Firoz Sheikh, M.D.

• All providers in Culver City, CA
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.