Organization Active NPI

Alireza Movassaghi DDS Inc

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1497966212
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39189 Issued in CA
Legal business name
ALIREZA MOVASSAGHI DDS INC
Practice address
811 S Alvarado St
Los Angeles, CA 90057-4009
Phone
(213) 383-3314
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Alireza Movassaghi, DDS
Title
Dentist
Phone
(213) 383-3314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 39189 CA Primary

Addresses

Primary practice location

811 S Alvarado St
Los Angeles, CA 90057-4009

Mailing address

811 S Alvarado St
Los Angeles, CA 90057-4009
Phone (213) 383-3314

Other identifiers 1

IdentifierTypeStateIssuer
1902903909OtherCA1

National Provider Directory

National Provider Directory

Locations

811 S Alvarado St
Los Angeles, CA 90057
Phone (213) 383-3114

Practitioners & affiliated clinicians

Practitioners 3

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": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497966212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 S ALVARADO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574009",
            "telephone_number": "213-383-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 S ALVARADO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574009",
            "telephone_number": "213-383-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIREZA MOVASSAGHI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOVASSAGHI",
        "authorized_official_first_name": "ALIREZA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "213-383-3314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "39189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1",
            "identifier": "1902903909",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.