NPIMap

Organization Active NPI

Cohen Sedgh, Manavi & Pakravan Dental Corp

Doing business as West Coast Dental Group of Riverside

  • Dentist
  • Riverside, CA
National Provider Identifier
1528425980
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39862 Issued in CA
Legal business name
COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORP
Doing business as
West Coast Dental Group of Riverside
Practice address
3380 La Sierra Ave
Suite 108
Riverside, CA 92503-5271
Phone
(951) 354-9999
Fax
(951) 354-6666
NPI assigned
Jan 15, 2016
Last updated
Jan 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Authorized official

Name
Farid Pakravan, DDS
Title
Owner/ DDS
Phone
(310) 820-9933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 39862 CA Primary

Addresses

Primary practice location

3380 La Sierra Ave
Suite 108
Riverside, CA 92503-5271

Mailing address

3380 La Sierra Ave
Suite 108
Riverside, CA 92503-5271
Phone (951) 354-9999

Other names 1

  • West Coast Dental Group of Riverside Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pakravan Dental Corporation23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

3380 La Sierra Ave
Ste 108
Riverside, CA 92503
Phone (951) 354-9999

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1528425980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 LA SIERRA AVE",
            "address_2": "SUITE 108",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925035271",
            "telephone_number": "951-354-9999",
            "fax_number": "951-354-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 LA SIERRA AVE",
            "address_2": "SUITE 108",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925035271",
            "telephone_number": "951-354-9999",
            "fax_number": "951-354-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "PAKRAVAN",
        "authorized_official_first_name": "FARID",
        "authorized_official_title_or_position": "OWNER/ DDS",
        "authorized_official_telephone_number": "310-820-9933",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "39862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Coast Dental Group of Riverside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.