NPIMap

Organization Active NPI

Eshaghian & Pazooky Dental Corporation

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1376909002
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
59650 Issued in CA
Legal business name
ESHAGHIAN & PAZOOKY DENTAL CORPORATION
Practice address
2978 Wilshire Blvd
#201
Los Angeles, CA 90010-1126
Phone
(310) 933-6033
NPI assigned
Jan 11, 2016
Last updated
Jan 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Authorized official

Name
Sharone PazookyNPI 1770806689
Title
Co-President
Phone
(310) 933-6033

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 59650 CA Primary

Addresses

Primary practice location

2978 Wilshire Blvd
#201
Los Angeles, CA 90010-1126

Mailing address

2978 Wilshire Blvd
#201
Los Angeles, CA 90010-1126

National Provider Directory

National Provider Directory

Locations

2978 Wilshire Blvd
Ste 201
Los Angeles, CA 90010
Phone (310) 933-6033

Practitioners & affiliated clinicians

Practitioners 1

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": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1376909002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2978 WILSHIRE BLVD",
            "address_2": "#201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2978 WILSHIRE BLVD",
            "address_2": "#201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101126",
            "telephone_number": "310-933-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESHAGHIAN & PAZOOKY DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "PAZOOKY",
        "authorized_official_first_name": "SHARONE",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "310-933-6033"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "59650",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 14, 2016; 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.