NPIMap

Organization Active NPI

Farid Pakravan, D.D.S., Inc.

Doing business as West Coast Dental Group of Los Angeles

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1346464898
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39862 Issued in CA
Legal business name
FARID PAKRAVAN, D.D.S., INC.
Doing business as
West Coast Dental Group of Los Angeles
Practice address
2604 S Vermont Ave
Suite F
Los Angeles, CA 90007-2298
Phone
(323) 731-3333
Fax
(323) 731-7626
NPI assigned
Apr 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Farid Pakravan
Title
Owner
Phone
(323) 731-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 39862 CA Primary

Addresses

Primary practice location

2604 S Vermont Ave
Suite F
Los Angeles, CA 90007-2298

Mailing address

2604 S Vermont Ave
Suite F
Los Angeles, CA 90007-2298
Phone (323) 731-3333

Other names 1

  • WEST COAST DENTAL GROUP OF LOS ANGELES Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346464898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 S VERMONT AVE",
            "address_2": "SUITE F",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900072298",
            "telephone_number": "323-731-3333",
            "fax_number": "323-731-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 S VERMONT AVE",
            "address_2": "SUITE F",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900072298",
            "telephone_number": "323-731-3333",
            "fax_number": "323-731-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARID PAKRAVAN, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAKRAVAN",
        "authorized_official_first_name": "FARID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-731-3333"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST COAST DENTAL GROUP OF LOS ANGELES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 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.