Pooyan Nasibi Dental Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

POOYAN NASIBI DENTAL INC

Practice address

5501 Pacific Blvd
Huntington Park, CA 90255-2534

Phone

(323) 597-1135

Fax

(323) 372-9295

NPI assigned

May 22, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Pooyan Nasibi, DDSNPI 1457735565

Title

Owner

Phone

(424) 208-4055

Specialties & licenses 3

Addresses

Other names 1

• Huntington Park Children's Dentistry Doing business as

Locations

Practitioners 1

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

• Pooyan Nasibi, DDS

  • Pediatric Dentistry
  • Los Angeles, CA
  • NPI 1457735565
  NPD Authorized official

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1447043559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 PACIFIC BLVD",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902552534",
            "telephone_number": "323-597-1135",
            "fax_number": "323-372-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 PACIFIC BLVD",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902552534",
            "telephone_number": "323-597-1135",
            "fax_number": "323-372-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POOYAN NASIBI DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "NASIBI",
        "authorized_official_first_name": "POOYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-208-4055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huntington Park Children's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Planned Parenthood Los Angeles
• Josue Radames Plascencia-Martinez, M.D
• Austin Vannath Plong, PA-C
• PLS Podiatry Group
• Mayra Shirley Ponce, FNP
• Desirae Portillo
• Precision Health Center
• Precision Orthotics & Prosthetics Inc
• Pressman Dental Corporation
• Stephanie Marie Prideaux, REGISTERED DIETITIAN

• Pediatric Dentistry in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.