Organization Active NPI

Ramin Farzam DDS Inc

  • Dentist
  • Santa Monica, CA
National Provider Identifier
1497815708
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
45254 Issued in CA
Legal business name
RAMIN FARZAM DDS INC
Practice address
900 Wilshire Blvd
#440
Santa Monica, CA 90401-1872
Phone
(310) 264-5084
Fax
(310) 264-5085
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Authorized official

Name
Dr. Ramin Farzam, DDSNPI 1265771893
Title
Owner President
Phone
(310) 264-5084

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 45254 CA Primary

Addresses

Primary practice location

900 Wilshire Blvd
#440
Santa Monica, CA 90401-1872

Mailing address

900 Wilshire Blvd
#440
Santa Monica, CA 90401-1872
Phone (310) 264-5084

Other identifiers 1

IdentifierTypeStateIssuer
B4525401MedicaidCA

National Provider Directory

National Provider Directory

Locations

900 Wilshire Blvd
Ste 440
Santa Monica, CA 90401
Phone (310) 264-5084

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1497815708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WILSHIRE BLVD",
            "address_2": "#440",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011872",
            "telephone_number": "310-264-5084",
            "fax_number": "310-264-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WILSHIRE BLVD",
            "address_2": "#440",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011872",
            "telephone_number": "310-264-5084",
            "fax_number": "310-264-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMIN FARZAM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "FARZAM",
        "authorized_official_first_name": "RAMIN",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "310-264-5084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "45254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B4525401",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.