Individual provider Active NPI

Ali Esfahani, DDS

  • General Practice Dentistry
  • West Hollywood, CA
National Provider Identifier
1497353544
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
105671 Issued in CA
Practice address
1124 N la Cienega Blvd Apt 201
West Hollywood, CA 90069-2412
Phone
(310) 927-4425
NPI assigned
Oct 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 105671 CA Primary

Addresses

Primary practice location

1124 N la Cienega Blvd Apt 201
West Hollywood, CA 90069-2412

Mailing address

1124 N la Cienega Blvd Apt 201
West Hollywood, CA 90069-2412
Phone (310) 927-4425

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

LicenseStateTypeSpecialty
105671CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ali Esfahani DDS Inc. Current Accepting new patients

Locations

2080 Century Park E
Ste 1103
Los Angeles, CA 90067
Phone (310) 553-2233

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1497353544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 N LA CIENEGA BLVD APT 201",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900692412",
            "telephone_number": "310-927-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 N LA CIENEGA BLVD APT 201",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900692412",
            "telephone_number": "310-927-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESFAHANI",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "105671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.