NPIMap

Organization Active NPI

S. Ghazarian DDS., Inc.

  • Dental Clinic/Center
  • Montebello, CA
National Provider Identifier
1578863395
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
35398 Issued in CA
Legal business name
S. GHAZARIAN DDS., INC.
Practice address
433 N Montebello Blvd
Montebello, CA 90640-4222
Phone
(323) 722-2922
Fax
(323) 722-2760
NPI assigned
Oct 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Authorized official

Name
Dr. Shahen Ghazarian, DDSNPI 1710987797
Title
President/Dentist
Phone
(323) 722-2922

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
Dental Clinic/Center 261QD0000X 35398 CA Primary

Addresses

Primary practice location

433 N Montebello Blvd
Montebello, CA 90640-4222

Mailing address

433 N Montebello Blvd
Montebello, CA 90640-4222
Phone (323) 722-2922

National Provider Directory

National Provider Directory

Locations

433 N Montebello Blvd
Montebello, CA 90640
Phone (323) 722-2922

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": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1578863395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 N MONTEBELLO BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404222",
            "telephone_number": "323-722-2922",
            "fax_number": "323-722-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 N MONTEBELLO BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404222",
            "telephone_number": "323-722-2922",
            "fax_number": "323-722-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. GHAZARIAN DDS., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "GHAZARIAN",
        "authorized_official_first_name": "SHAHEN",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "323-722-2922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "35398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.