Kaveh Pajouhan, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DDS100690 Issued in CA

Practice address

4316 Marina City Dr Unit 823
Marina del Rey, CA 90292-5819

Phone

(310) 592-4642

NPI assigned

Jul 19, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1508208588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4316 MARINA CITY DR UNIT 823",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925819",
            "telephone_number": "310-592-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 MARINA CITY DR UNIT 823",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925819",
            "telephone_number": "310-592-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAJOUHAN",
        "first_name": "KAVEH",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-19",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "DDS100690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Otero
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• Pacific Hearing, Inc.
• Karina Padilla
• Susan Palendech, N.P.
• Richard Emilio Paliani, M.ED
• Palu Inc
• Pamela G. Starnes, M.D., Inc.
• Eileen Paris, PHD

• Endodontics in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.