NPIMap

Organization Active NPI

Khajadour Donabedian D.D.S.. Inc

  • Dentist
  • Pasadena, CA
National Provider Identifier
1548580251
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
54797 Issued in CA
Legal business name
KHAJADOUR DONABEDIAN D.D.S.. INC
Practice address
2063 E. Foothill Blvd
Pasadena, CA 91107-3222
Phone
(626) 449-1919
Fax
(626) 449-8775
NPI assigned
Jun 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Authorized official

Name
Dr. Khajadour Donabedian, D.D.S.NPI 1841435062
Title
President
Phone
(626) 449-1919

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: 193400000X SINGLE SPECIALTY GROUP 122300000X 54797 CA Primary

Addresses

Primary practice location

2063 E. Foothill Blvd
Pasadena, CA 91107-3222

Mailing address

2063 E. Foothill Blvd
Pasadena, CA 91107-3222
Phone (626) 449-1919

National Provider Directory

National Provider Directory

Locations

2063 E Foothill Blvd
Pasadena, CA 91107
Phone (626) 449-1919

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": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1548580251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2063 E. FOOTHILL BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073222",
            "telephone_number": "626-449-1919",
            "fax_number": "626-449-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2063 E. FOOTHILL BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073222",
            "telephone_number": "626-449-1919",
            "fax_number": "626-449-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHAJADOUR DONABEDIAN D.D.S.. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "DONABEDIAN",
        "authorized_official_first_name": "KHAJADOUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-449-1919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "54797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.