P Shahbazian DDS Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

P SHAHBAZIAN DDS CORPORATION

Practice address

2885 Tapo St
Simi Valley, CA 93063-1728

Phone

(805) 527-5772

NPI assigned

Apr 14, 2021

Organization subpart

No

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

Authorized official

Name

Pirouz ShahbazianNPI 1871845636

Title

President

Phone

(310) 280-8234

Specialties & licenses 1

Addresses

Practitioners 2

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

• Pirouz Shahbazian, DDS

  • Dentist
  • Santa Ana, CA
  • NPI 1871845636
  NPD Authorized official
• John Speros Innes, D.D.S

  • Dentist
  • Simi Valley, CA
  • NPI 1427070093
  NPD (past)

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1396326153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORDA LN",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900491105",
            "telephone_number": "310-280-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2885 TAPO ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930631728",
            "telephone_number": "805-527-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P SHAHBAZIAN DDS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "SHAHBAZIAN",
        "authorized_official_first_name": "PIROUZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-280-8234"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Orellana, LVN
• Susan D Organ, P.T.
• Isabel Oropeza Perez
• Beatriz Susana Orvis, N.P.
• Kemi Osilesi, AGNP
• Pacific Cardiovascular Associates, Inc
• Pacific Health Care,Inc.
• Pacific Toxicology Management, Inc
• Pacwest Nursing Inc
• Luke Jonathan Paik, PA-C

• Dental Clinic/Center in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.