Organization Active NPI

Katayoun Setareh

  • Dentist
  • Tarzana, CA
National Provider Identifier
1548698137
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50822 Issued in CA
Legal business name
KATAYOUN SETAREH
Practice address
5126 Garden Grove Ave
Tarzana, CA 91356-4339
Phone
(818) 326-3365
NPI assigned
Oct 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Authorized official

Name
Katyoun Setareh, D.D.S.
Title
Owner/Dentist
Phone
(818) 326-3365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 50822 CA Primary

Addresses

Primary practice location

5126 Garden Grove Ave
Tarzana, CA 91356-4339

Mailing address

5126 Garden Grove Ave
Tarzana, CA 91356-4339

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherNONE

National Provider Directory

National Provider Directory

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": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1548698137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5126 GARDEN GROVE AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5126 GARDEN GROVE AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564339",
            "telephone_number": "818-326-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATAYOUN SETAREH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "SETAREH",
        "authorized_official_first_name": "KATYOUN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "818-326-3365",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "50822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.