Azita Shahriarpour, DO

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D47560 Issued in CA

Practice address

2114 Artesia Blvd
Redondo Beach, CA 90278-3014

Phone

(310) 802-6177

Fax

(310) 802-6178

NPI assigned

May 15, 2007

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

Other identifiers 1

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

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: ashahriarpour753797@direct.ochin.org

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457567612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23430 HAWTHORNE BLVD",
            "address_2": "BLDG 3, STE 210",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054720",
            "telephone_number": "310-802-6177",
            "fax_number": "310-802-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 ARTESIA BLVD",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783014",
            "telephone_number": "310-802-6177",
            "fax_number": "310-802-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHRIARPOUR",
        "first_name": "AZITA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "D47560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "D47560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruth Eva Shaffer, PSY.D.
• Rina Shah, CCC-SLP
• Sagar Atul Shah
• Bita Shahidi, D.P.T.
• Shani Shahmoon
• Saira Shaikh
• Shakti Medical, Inc.
• Shanti Recovery & Wellness
• Philip Shapiro, BA, MS
• Shari Carroll DMD, P.C.

• General Practice Dentistry in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.