Tadeh Avedian Sangebarani, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS101871 Issued in CA

Practice address

290 E Verdugo Ave Ste 208
Burbank, CA 91502-1342

Phone

(818) 566-8859

NPI assigned

Aug 29, 2017

Last updated

Aug 29, 2017By the provider in NPPES

Sex

Male

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25605/brand/1/csg/1/fhir/r4

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.

• Gourgen Almasi DDS a Proffessional Corporation

  • General Practice Dentistry
  • Burbank, CA
  • NPI 1801207527
  NPD (past)

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503964800000",
    "number": "1619494739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11034 NASSAU AVE",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910402124",
            "telephone_number": "818-433-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 E VERDUGO AVE STE 208",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021342",
            "telephone_number": "818-566-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVEDIAN SANGEBARANI",
        "first_name": "TADEH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-29",
        "last_updated": "2017-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS101871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avalon Wound Care Inc
• Jose Angel Avalos, FNP
• Anasheh Avanes, FNP-C
• Edward Avanessians
• Feliks Avanesyan, MD
• Nareh Avedian, DMD
• Aventus Home Health Care, Inc.
• Avenue to Health Home Health, Inc
• Marina Avetisian
• Satenik Avetisyan

• General Practice Dentistry in Burbank, CA
• Providers in Burbank, 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 Aug 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.