Organization Active NPI

Katayoun Omrani, DDS a Professional Dental Corporation

  • Orofacial Pain Dentistry
  • Los Angeles, CA
National Provider Identifier
1396136974
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orofacial Pain DentistryTaxonomy code 1223X2210X
Legal business name
KATAYOUN OMRANI, DDS A PROFESSIONAL DENTAL CORPORATION
Practice address
11600 Wilshire Blvd Ste 406
Los Angeles, CA 90025-1785
Phone
(310) 422-4246
NPI assigned
Feb 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Dr. Katayoun Omrani, DDSNPI 1386967875
Title
President/Authorized Official
Phone
(310) 422-4246

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 45399 CA
Orofacial Pain DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X2210X Primary

Addresses

Primary practice location

11600 Wilshire Blvd Ste 406
Los Angeles, CA 90025-1785

Mailing address

11600 Wilshire Blvd Ste 406
Los Angeles, CA 90025-1785
Phone (310) 422-4246

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150827003292 CA Part B Supplier - Clinic/Group Practice 5496061053 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

11600 Wilshire Blvd
Ste 406
Los Angeles, CA 90025
Phone (310) 422-4246

Practitioners & affiliated clinicians

Practitioners 2

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": "1424217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1396136974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11600 WILSHIRE BLVD STE 406",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251785",
            "telephone_number": "310-422-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 WILSHIRE BLVD STE 406",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251785",
            "telephone_number": "310-422-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATAYOUN OMRANI, DDS A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-18",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "OMRANI",
        "authorized_official_first_name": "KATAYOUN",
        "authorized_official_title_or_position": "PRESIDENT/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "310-422-4246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "45399",
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orofacial Pain",
            "state": null,
            "license": null,
            "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 Jun 24, 2025; 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.