Active NPI
Adeeb Shalabi, DDS
- Dentist
- Pasadena, CA
National Provider Identifier
1477251965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 110263
- Practice address
- 1245 N Lake Ave
Pasadena, CA 91104-2855 - Phone
- (855) 203-6053
- NPI assigned
- Feb 23, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 110263 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1245 N Lake Ave
Pasadena, CA 91104-2855
Mailing address
300 N Beaudry Ave Apt 7033
Los Angeles, CA 90012-4874
Other practice location 1
1200 N State St
Clinic Tower, Suite A7D
Los Angeles, CA 90033-1029
Phone (682) 558-5194
Other practice location 2
925 W 34th St
Los Angeles, CA 90089-1029
Phone (213) 740-2800
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110263 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1477251965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 N BEAUDRY AVE APT 7033",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900124874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 N LAKE AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911042855",
"telephone_number": "855-203-6053"
}
],
"practiceLocations": [
{
"address_1": "1200 N State St",
"address_2": "Clinic Tower, Suite A7D",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900331029",
"country_code": "US",
"telephone_number": "682-558-5194",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "925 W 34th St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900891029",
"country_code": "US",
"telephone_number": "213-740-2800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHALABI",
"first_name": "ADEEB",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-23",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "110263",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.