Nima Astaraee, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DDS101265 Issued in CA

Practice address

11980 San Vicente Blvd
Los Angeles, CA 90049

Phone

(619) 261-3933

NPI assigned

Aug 10, 2016

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 NM

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Astaraee Dental Corp

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1669954566

  Single Specialty

  NPD Authorized official
• Astaraee BH DDS

  • Dentist
  • Los Angeles, CA
  • NPI 1568346104
  NPD
• Astaraee DT

  • Dentist
  • Los Angeles, CA
  • NPI 1659255271
  NPD
• Familia Dental Ros LLC

  • Dental Clinic/Center
  • Roswell, NM
  • NPI 1730472184

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1497209183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11870 SANTA MONICA BLVD STE 106418",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252276",
            "telephone_number": "619-261-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11980 SAN VICENTE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90049",
            "telephone_number": "619-261-3933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 N Main St",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "NM",
            "postal_code": "882016554",
            "country_code": "US",
            "telephone_number": "888-988-4066",
            "fax_number": "847-496-4850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASTARAEE",
        "first_name": "NIMA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-10",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS101265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Assure Health Staffing of California, Inc.
• Assured Lifestyle Housing
• Astaraee BH DDS
• Astaraee Dental Corp
• Astaraee DT
• Michelle Asten, LCSW
• Piper Lynne Asten, OTR/L
• William Astle, MD
• Bethany Aston
• Cynthia Astorga

• 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 Sep 6, 2018; 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.