Sarvenaz Angha, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

55438 Issued in CA

Practice address

1509 Pandora Ave
Los Angeles, CA 90024-6111

Phone

(415) 246-8182

NPI assigned

Dec 21, 2007

Last updated

Jul 22, 2022By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Sarvenaz Angha DDS Inc.

  • Periodontics
  • Pasadena, CA
  • NPI 1720713142
  NPD Authorized official

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1619151008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 PANDORA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900246111",
            "telephone_number": "415-246-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 PANDORA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900246111",
            "telephone_number": "415-246-8182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 S El Molino Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911012985",
            "country_code": "US",
            "telephone_number": "626-788-0006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGHA",
        "first_name": "SARVENAZ",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-21",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "55438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelus Groups, Inc.
• Angelus Medical Clinic Multi Specialty Group Inc
• Angelus Medical Clinic Multispecialty Group, Inc.
• Mathieu Angers-Goulet, MD. M.ENG.
• Summer L Angevin, PH.D.
• Alexandria Angle, AMFT
• Janet R Angle
• Brittany Kei Angley
• Deirdre R Anglin, MD
• Yvette Anglon

• Periodontics in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.