Active NPI
Ramil Mustafayev
- Dentist
- North Hollywood, CA
National Provider Identifier
1396504437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 109949
- Practice address
- 10835 Oxnard St
North Hollywood, CA 91606-5020 - Phone
- (818) 945-9458
- NPI assigned
- Mar 18, 2024
- Last updated
- Apr 2, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 109949 | CA | Primary |
Addresses
Primary practice location
10835 Oxnard St
North Hollywood, CA 91606-5020
Mailing address
19221 Hamlin St Unit 7
Reseda, CA 91335-5852
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haig Mastikian DMD Inc | Current | Accepting new patients |
Locations
10835 Oxnard St
North Hollywood, CA 91606
Phone (818) 945-9458
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba LA Kids Dental Group
- Dental Clinic/Center
- North Hollywood, CA
- NPI 1306340047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1396504437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19221 HAMLIN ST UNIT 7",
"city": "RESEDA",
"state": "CA",
"postal_code": "913355852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10835 OXNARD ST",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916065020",
"telephone_number": "818-945-9458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSTAFAYEV",
"first_name": "RAMIL",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-03-18",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "109949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Hollywood, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.