Tala Eftekhari, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

103879 Issued in CA

Practice address

4955 Van Nuys Blvd Ste 716
Sherman Oaks, CA 91403-1843

Phone

(818) 616-3305

Fax

(818) 646-0393

NPI assigned

Jul 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Tala Eftekhari Dental Corporation

  • Dental Clinic/Center
  • Sherman Oaks, CA
  • NPI 1629682349
  NPD Authorized official

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1407408222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10747 WILSHIRE BLVD APT 1308",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244409",
            "telephone_number": "813-625-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 VAN NUYS BLVD STE 716",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031843",
            "telephone_number": "818-616-3305",
            "fax_number": "818-646-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFTEKHARI",
        "first_name": "TALA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "103879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Eddy, M.S.
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• Edwin Haronian, M D. Inc.
• Navid Eghbal, LMFT
• Babak Eghbalieh, MD FACS
• Sammy Daniel, David Eghbalieh, M.D.
• Egida Home Health Care, Inc.
• Farzaneh Ehsan, PSYD

• Dentist in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.