Individual provider Active NPI

James Najme Mobaser, DDS

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1629476064
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
46891 Issued in CA
Practice address
2390 Glendale Blvd
Los Angeles, CA 90039-3209
Phone
(323) 913-9900
Fax
(323) 669-3967
NPI assigned
Dec 17, 2014
Last updated
Dec 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 46891 CA Primary

Addresses

Primary practice location

2390 Glendale Blvd
Los Angeles, CA 90039-3209

Mailing address

2390 Glendale Blvd
Los Angeles, CA 90039-3209
Phone (323) 913-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
46891CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
James Mobaser DDS Inc Past Accepting new patients

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": "1418774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1629476064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 GLENDALE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900393209",
            "telephone_number": "323-913-9900",
            "fax_number": "323-669-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 GLENDALE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900393209",
            "telephone_number": "323-913-9900",
            "fax_number": "323-669-3967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBASER",
        "first_name": "JAMES",
        "middle_name": "NAJME",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "46891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.