Organization Active NPI

David Dardashti DPM a Professional Corporation

  • Foot & Ankle Surgery Podiatrist
  • Beverly Hills, CA
National Provider Identifier
1356538516
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
DAVID DARDASHTI DPM A PROFESSIONAL CORPORATION
Practice address
9100 Wilshire Blvd Ste 280E
Beverly Hills, CA 90212-3562
Phone
(310) 940-9920
Fax
(310) 652-3669
NPI assigned
Oct 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Authorized official

Name
Dr. David Dardashti, D.P.MNPI 1457395923
Title
Ceo
Phone
(310) 940-9920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

9100 Wilshire Blvd Ste 280E
Beverly Hills, CA 90212-3562

Mailing address

9100 Wilshire Blvd Ste 280E
Beverly Hills, CA 90212-3562
Phone (310) 940-9920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090914000132 CA Part B Supplier - Clinic/Group Practice 4284672775 Receives reassigned benefits from 2 practitioners
Practice locations: Beverly Hills, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1356538516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 WILSHIRE BLVD STE 280E",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123562",
            "telephone_number": "310-940-9920",
            "fax_number": "310-652-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 WILSHIRE BLVD STE 280E",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123562",
            "telephone_number": "310-940-9920",
            "fax_number": "310-652-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID DARDASHTI DPM A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "DARDASHTI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-940-9920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.