Active NPI
Stephanie Jara, RDH
- Dental Hygienist
- Beverly Hills, CA
National Provider Identifier
1588475172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 30486
- Practice address
- 8920 Wilshire Blvd Ste 701
Beverly Hills, CA 90211-2006 - Phone
- (310) 652-8383
- NPI assigned
- Jan 14, 2025
- Last updated
- Jan 14, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 30486 | CA | Primary |
Addresses
Primary practice location
8920 Wilshire Blvd Ste 701
Beverly Hills, CA 90211-2006
Mailing address
19811 Gresham St
Northridge, CA 91324-3318
Phone (323) 919-6558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30486 | CA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Sleep Health and Wellness | Past | Accepting new patients | |
| DRS Kevin Michele and Shawn Frawley Beverly Hills Dental Group Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Beverly Hills Dentistry
- Dentist
- Beverly Hills, CA
- NPI 1417492059
-
dba Beverly Hills Dentistry
- Dentist
- Beverly Hills, CA
- NPI 1629521265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736812800000",
"number": "1588475172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19811 GRESHAM ST",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913243318",
"telephone_number": "323-919-6558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8920 WILSHIRE BLVD STE 701",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902112006",
"telephone_number": "310-652-8383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARA",
"first_name": "STEPHANIE",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-14",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "30486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
- Jonathan Janfaza, D.C.
- Hea Eun Jang
- America Sommer Janssen, CERTIFICATION
- Jacqueline Marie Jansz
- Janus Management Project
- Payam Jarrahnejad, MD
- Jasmine Onyeka Obioha MD, Inc. (Boutik Dermatology by ObiohaMD)
- Jason M. Cuellar, M.D., Inc.
- Jason Snibbe, MD, Professional Medical Corporation
- Jason V. Kboudi, DDS, Inc. (Beverly Hills Complete Dentistry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.