Active NPI
Ehsan Eslami Ryan
- Dentist
- La Mirada, CA
National Provider Identifier
1427403609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 100151
- Practice address
- 15071 Imperial Hwy
La Mirada, CA 90638-1302 - Phone
- (562) 947-7000
- NPI assigned
- Apr 26, 2016
- Last updated
- Sep 27, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 100151 | CA | Primary |
Addresses
Primary practice location
15071 Imperial Hwy
La Mirada, CA 90638-1302
Mailing address
15071 Imperial Hwy
La Mirada, CA 90638-1302
Other practice location 1
19510 Van Buren Blvd
Riverside, CA 92508-9457
Phone (951) 565-4944
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 |
|---|---|---|---|
| Mehrabian & Ambarachyan Dental Corporation | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- La Mirada, CA
- NPI 1902237845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1427403609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15071 IMPERIAL HWY",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906381302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15071 IMPERIAL HWY",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906381302",
"telephone_number": "562-947-7000"
}
],
"practiceLocations": [
{
"address_1": "19510 Van Buren Blvd",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925089457",
"country_code": "US",
"telephone_number": "951-565-4944",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RYAN",
"first_name": "EHSAN",
"middle_name": "ESLAMI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-26",
"last_updated": "2022-09-27",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "100151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mirada, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.