Baharak Ghaffarzadegan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

63623 Issued in CA

Practice address

4346 Matilija Ave #107
Sherman Oaks, CA 91423

Phone

(818) 468-6458

NPI assigned

Aug 21, 2014

Last updated

Aug 22, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408665600000",
    "number": "1558760926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4346 MATILIJA AVE APT 107",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914233602",
            "telephone_number": "818-468-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4346 MATILIJA AVE #107",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "91423",
            "telephone_number": "818-468-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAFFARZADEGAN",
        "first_name": "BAHARAK",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecilia George
• Nicole Georgino
• Janice Alissa Gershon
• Elizabeth A Gessel, MFT
• Nare N/a Gevorgyan, PHARMD
• Jasmine Ghalchi, PA-C
• Bahareh Ghazaei
• Miganoush Ghookasian, D.D.S.
• Andrea Leigh Giese-Sweat, MSW
• Cristina Edith Gijon

• Dentist in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.