Active NPI
Saman Farah Bakhsh
- Dentist
- Panorama City, CA
National Provider Identifier
1336715598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS109793
- Practice address
- 7942 Van Nuys Blvd
Panorama City, CA 91402-6084 - Phone
- (413) 389-9319
- NPI assigned
- May 28, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS109793 | CA | Primary |
Addresses
Primary practice location
7942 Van Nuys Blvd
Panorama City, CA 91402-6084
Mailing address
6401 Wilshire Blvd Apt 1602
Los Angeles, CA 90048-4983
Phone (413) 389-9319
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS109793 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1336715598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6401 WILSHIRE BLVD APT 1602",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900484983",
"telephone_number": "413-389-9319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7942 VAN NUYS BLVD",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "914026084",
"telephone_number": "413-389-9319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARAH BAKHSH",
"first_name": "SAMAN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-28",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS109793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Panorama City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.