Individual provider Active NPI

Parisa Moravedje Torbaty, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chino, CA
National Provider Identifier
1396527255
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
107402 Issued in CA
Practice address
5549 Philadelphia St Ste a
Chino, CA 91710-7557
Phone
(909) 313-5993
NPI assigned
Oct 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 107402 CA Primary

Addresses

Primary practice location

5549 Philadelphia St Ste a
Chino, CA 91710-7557

Mailing address

1431 Ocean Ave Apt 1002
Santa Monica, CA 90401-2158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240129004365 CA Order and Referring Only - DentistPractitioner - Dentist 9830542596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107402CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sohal and Pham Dental Corporation PastSince Oct 22, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1396527255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 OCEAN AVE APT 1002",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5549 PHILADELPHIA ST STE A",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917107557",
            "telephone_number": "909-313-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAVEDJE TORBATY",
        "first_name": "PARISA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "107402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.