Organization Active NPI

Payam a Sanjideh DDS Ms

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Woodland Hills, CA
National Provider Identifier
1447620281
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
56201 Issued in CA
Legal business name
PAYAM A SANJIDEH DDS MS
Practice address
20968 Ventura Blvd Ste 2
Woodland Hills, CA 91364-6491
Phone
(310) 435-7449
NPI assigned
Oct 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Authorized official

Name
Dr. Payam A Sanjideh, DDS MS
Title
Orthodontist
Phone
(310) 435-7449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 56201 CA Primary

Addresses

Primary practice location

20968 Ventura Blvd Ste 2
Woodland Hills, CA 91364-6491

Mailing address

20968 Ventura Blvd Ste 2
Woodland Hills, CA 91364-6491

National Provider Directory

National Provider Directory

Locations

20968 Ventura Blvd
Ste 2
Woodland Hills, CA 91364
Phone (310) 435-7449

NPI Registry JSON

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1447620281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20968 VENTURA BLVD STE 2",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913646491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20968 VENTURA BLVD STE 2",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913646491",
            "telephone_number": "310-435-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYAM A SANJIDEH DDS MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "SANJIDEH",
        "authorized_official_first_name": "PAYAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "310-435-7449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "56201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.