Matthew Habib Rahnama, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS107599 Issued in CA

Practice address

12121 Banff LN
Los Angeles, CA 90049-2809

Phone

(310) 985-2929

NPI assigned

Jun 7, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1346817533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 BANFF LN",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900492809",
            "telephone_number": "310-985-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 BANFF LN",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900492809",
            "telephone_number": "310-985-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHNAMA",
        "first_name": "MATTHEW",
        "middle_name": "HABIB",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-07",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS107599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA DENTAL LICENSE",
            "identifier": "DDS107599",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92379075G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chrystal Rahmani, PH.D.
• Farnaz Rahmani, MFT
• Zhinus Rahmanian, PHARMD
• Rebecca Rahmanpour, PHARM D
• Bahar Rahnama, PSY.D.
• Nyaniso Rahotep
• Rai Care Centers of Southern California I, LLC
• Aditya Rai, PHARMD
• Amandeep Kaur Rai, PHARMD.
• Angad Rai, M.D.

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.