Marwan Jamil

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

100000 Issued in CA

Practice address

14435 Sherman Way Ste 110
Van Nuys, CA 91405

Phone

(818) 927-3113

Fax

(818) 547-5510

NPI assigned

Jan 21, 2016

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

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 and National Provider Directory roles.

• Michael Homayun Dental Corporation

  • Dentist
  • Reseda, CA
  • NPI 1669774600
  NPD
• Yeghisheh Mirzoyan D.D.S., Inc.

  • General Practice Dentistry
  • Van Nuys, CA
  • NPI 1992179006
  NPD (past)

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1629435649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7745 RESEDA BLVD APT 37",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913357475",
            "telephone_number": "909-964-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14435 SHERMAN WAY STE 110",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91405",
            "telephone_number": "818-927-3113",
            "fax_number": "818-547-5510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26477 Golden Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Clarita",
            "state": "CA",
            "postal_code": "913502973",
            "country_code": "US",
            "telephone_number": "661-253-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMIL",
        "first_name": "MARWAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-21",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahram Jalali, M.D.
• Narine Jallatyan
• Jennifer M James, L.V.N.
• Kailee James
• Nicole Renee James
• Janesri de Silva, MD a Prof Corp
• Kimberly Janovitch, PHD
• Aerlind Janzen
• Victorina Jardon Medina
• Amy Jarrett

• General Practice Dentistry in Van Nuys, CA
• Providers in Van Nuys, 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 Jul 18, 2018; 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.