Organization Active NPI

Mahnaz Gozini DDS Inc

  • Dentist
  • Encino, CA
National Provider Identifier
1336345339
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
38016 Issued in CA
Legal business name
MAHNAZ GOZINI DDS INC
Practice address
18032 Ventura Blvd
#2
Encino, CA 91316
Phone
(818) 881-1330
Fax
(818) 881-3481
NPI assigned
Jun 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Authorized official

Name
Mrs. Mahnaz Deborah Gozini, DDSNPI 1851400816
Title
Dr Gozini
Phone
(818) 881-1330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 38016 CA Primary

Addresses

Primary practice location

18032 Ventura Blvd
#2
Encino, CA 91316

Mailing address

18032 Ventura Blvd
#2
Encino, CA 91316
Phone (818) 881-1330

Other identifiers 2

IdentifierTypeStateIssuer
38016OtherCABOARD OF CA
B3801601OtherCAMEDI CAL

National Provider Directory

National Provider Directory

Locations

18032 Ventura Blvd
Ste 2
Encino, CA 91316
Phone (818) 881-1330

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1336345339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18032 VENTURA BLVD",
            "address_2": "#2",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91316",
            "telephone_number": "818-881-1330",
            "fax_number": "818-881-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18032 VENTURA BLVD",
            "address_2": "#2",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91316",
            "telephone_number": "818-881-1330",
            "fax_number": "818-881-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHNAZ GOZINI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "GOZINI",
        "authorized_official_first_name": "MAHNAZ",
        "authorized_official_middle_name": "DEBORAH",
        "authorized_official_title_or_position": "DR GOZINI",
        "authorized_official_telephone_number": "818-881-1330",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "38016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF CA",
            "identifier": "38016",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL",
            "identifier": "B3801601",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.