Afshin Doostan DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

46051 Issued in CA

Legal business name

AFSHIN DOOSTAN DDS INC

Doing business as

Afshin Doostan, D.d.s., Inc.

Practice address

14017 Van Ness Ave
Gardena, CA 90249-2915

Phone

(310) 327-8612

Fax

(310) 327-5177

NPI assigned

Feb 27, 2017

Last updated

Nov 4, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Afshin Doostan, D.D.S.NPI 1659466456

Title

Owner/ Doctor

Phone

(310) 327-8612

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Afshin Doostan, D.d.s., Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Afshin Doostan,D.D.S.,Inc

  • General Practice Dentistry
  • Lawndale, CA
  • NPI 1932397734

  O20150624000544

  Same enrollment

Tax ID family

Afshin Doostan DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Afshin Doostan,DDS,Inc.

  dba Golden Care Dentistry

  • Dentist
  • Van Nuys, CA
  • NPI 1184815979
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Afshin Doostan, D.D.S.

  • General Practice Dentistry
  • Van Nuys, CA
  • NPI 1659466456
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1609316439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14017 VAN NESS AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902492915",
            "telephone_number": "310-327-8612",
            "fax_number": "310-327-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14017 VAN NESS AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902492915",
            "telephone_number": "310-327-8612",
            "fax_number": "310-327-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFSHIN DOOSTAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "DOOSTAN",
        "authorized_official_first_name": "AFSHIN",
        "authorized_official_title_or_position": "OWNER/ DOCTOR",
        "authorized_official_telephone_number": "310-327-8612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G89838",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Afshin Doostan, D.d.s., Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Gardena, CA
• Providers in Gardena, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.