Individual provider Active NPI

Ava Ahmadi

  • General Practice Dentistry
  • West Hills, CA
National Provider Identifier
1609693654
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
110806 Issued in CA
Practice address
8393 Topanga Canyon Blvd
West Hills, CA 91304-2343
Phone
(818) 227-8986
NPI assigned
Sep 23, 2024
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 110806 CA Primary

Addresses

Primary practice location

8393 Topanga Canyon Blvd
West Hills, CA 91304-2343

Mailing address

11750 Wilshire Blvd Apt 1005
Los Angeles, CA 90025-6989
Phone (213) 392-5041

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250813000453 CA Order and Referring Only - DentistPractitioner - Dentist 4981102498

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110806CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Amber Gilbert Dental Corporation General Practice CurrentSince Sep 29, 2024 Accepting new patients

Locations

8393 Topanga Canyon Blvd
West Hills, CA 91304
Phone (818) 227-8986

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1609693654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11750 WILSHIRE BLVD APT 1005",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256989",
            "telephone_number": "213-392-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8393 TOPANGA CANYON BLVD",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913042343",
            "telephone_number": "818-227-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMADI",
        "first_name": "AVA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "110806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

Verify at the official NPI Registry.