Active NPI
Athena Nasseri, DDS
- Dentist
- Long Beach, CA
National Provider Identifier
1497033401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10394
- Practice address
- 1150 E Anaheim St
Long Beach, CA 90813-3663 - Phone
- (562) 901-2700
- NPI assigned
- Jul 25, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10394 | CO | Primary |
Addresses
Primary practice location
1150 E Anaheim St
Long Beach, CA 90813-3663
Mailing address
1150 E Anaheim St
Long Beach, CA 90813-3663
Phone (562) 901-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122300000X | Other | CO | NPI |
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 |
|---|---|---|---|
| 10394 | CO | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346976000000",
"number": "1497033401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 E ANAHEIM ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908133663",
"telephone_number": "562-901-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 E ANAHEIM ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908133663",
"telephone_number": "562-901-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASSERI",
"first_name": "ATHENA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-25",
"last_updated": "2012-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "10394",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "122300000X",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.