Arash Eliahu Roham, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

107573 Issued in CA

Practice address

28901 S Western Ave Ste 135
Rancho Palos Verdes, CA 90275-0824

Phone

(310) 750-2470

NPI assigned

Jul 5, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Roham Dental Group

  • Dental Clinic/Center
  • La Crescenta, CA
  • NPI 1134093230
  NPD Authorized official

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1356074546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46E PENINSULA CTR # 535",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743506",
            "telephone_number": "310-318-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28901 S WESTERN AVE STE 135",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750824",
            "telephone_number": "310-750-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHAM",
        "first_name": "ARASH",
        "middle_name": "ELIAHU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-05",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "107573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restoreot, Inc.
• Results Medical Group Inc
• Results Top Management LLC
• Lucille Ridgill, M.D.
• Deborah Sue Rightmier, MD
• Ronald E Mileham DDS Inc
• Rooted in Wellness LLC
• Don K Rosas, P.T.
• Jennifer Hill Ryan, PHYSICAL THERAPIST
• Kimberly Dawn Ryan, CLD

• Dentist in Rancho Palos Verdes, CA
• Providers in Rancho Palos Verdes, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.