Individual provider Active NPI

Sanjay Lala, DDS

  • Dentist
  • Sherman Oaks, CA
National Provider Identifier
1336573476
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
40645 Issued in CA
Practice address
5000 Van Nuys Blvd Ste 320
Sherman Oaks, CA 91403-1717
Phone
(818) 508-2250
Fax
(818) 762-0681
NPI assigned
Aug 26, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 40645 CA Primary

Addresses

Primary practice location

5000 Van Nuys Blvd Ste 320
Sherman Oaks, CA 91403-1717

Mailing address

5000 Van Nuys Blvd Ste 320
Sherman Oaks, CA 91403-1717
Phone (818) 508-2250

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160505001528 CA Order and Referring Only - DentistPractitioner - Dentist 0547560153

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40645CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sanjay Lala DDS, a Professional Corporation CurrentSince Sep 1, 2012 Accepting new patients

Locations

5000 Van Nuys Blvd
Ste 320
Sherman Oaks, CA 91403
Phone (818) 508-2250

4717 Laurel Canyon Blvd
Ste 200
Valley Village, CA 91607
Phone (310) 467-6318

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1336573476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 VAN NUYS BLVD STE 320",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031717",
            "telephone_number": "818-508-2250",
            "fax_number": "818-762-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 VAN NUYS BLVD STE 320",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031717",
            "telephone_number": "818-508-2250",
            "fax_number": "818-762-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALA",
        "first_name": "SANJAY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-26",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "40645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.