NPIMap

Organization Active NPI

David Rabizadeh, DDS, a Professional Dental Corporation

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1346303112
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DAVID RABIZADEH, DDS, A PROFESSIONAL DENTAL CORPORATION
Practice address
1018 1/2 N. Vermont Ave.
Los Angeles, CA 90029-3519
Phone
(323) 953-7700
Fax
(323) 953-7704
NPI assigned
Dec 19, 2006
Last updated
Feb 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
David Shahram Rabizadeh, DDSNPI 1942423546
Title
President
Phone
(323) 526-1992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X
Dentist 122300000X 41984 CA
Dentist 122300000X CA Primary

Addresses

Primary practice location

1018 1/2 N. Vermont Ave.
Los Angeles, CA 90029-3519

Mailing address

1018 1/2 N. Vermont Ave.
Los Angeles, CA 90029-3519
Phone (323) 953-7700

Other identifiers 1

IdentifierTypeStateIssuer
G9345701OtherCAMEDICAL

National Provider Directory

National Provider Directory

Locations

1018 N Vermont Ave
Los Angeles, CA 90029
Phone (323) 953-7700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1346303112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 1/2 N. VERMONT AVE.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900293519",
            "telephone_number": "323-953-7700",
            "fax_number": "323-953-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 1/2 N. VERMONT AVE.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900293519",
            "telephone_number": "323-953-7700",
            "fax_number": "323-953-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID RABIZADEH, DDS, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "RABIZADEH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SHAHRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-526-1992",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "41984",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "G9345701",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.