Faramarz Edalatpajouh, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

40811 Issued in CA

Practice address

8704 West Pico Blvd
Losangeles, CA 90035

Phone

(310) 854-6565

Fax

(310) 854-0505

NPI assigned

Nov 17, 2011

Last updated

Nov 17, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Edalat Pajouh Dental Corp

  • Dentist
  • Los Angeles, CA
  • NPI 1346483914
  NPD (past) Authorized official
• Labib Sinat Family Dentistry Inc

  dba Sinat Family Dentistry

  • Dentist
  • Los Angeles, CA
  • NPI 1083774863
  NPD (past)

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1447527569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8704 WEST PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90035",
            "telephone_number": "310-666-2385",
            "fax_number": "310-854-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8704 WEST PICO BLVD",
            "city": "LOSANGELES",
            "state": "CA",
            "postal_code": "90035",
            "telephone_number": "310-854-6565",
            "fax_number": "310-854-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDALATPAJOUH",
        "first_name": "FARAMARZ",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "40811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasia S. Economou, MD
• Mickaela Eda
• Faranak Edalat Pajou, RPH
• Edalat Pajouh Dental Corp
• Sina Edalat, DDS
• Esther Edber, CNM
• Daniel Edberg, M.D.
• Eddie Harouni, D.D.S.,Inc.
• Michelle Eddins
• Eddy Z. Naime, O.D., Inc. (Los Angeles Vision Center Optometry)

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.