Active NPI
Marina Janzer
- General Practice Dentistry
- San Fernando, CA
National Provider Identifier
1639883499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 108949
- Practice address
- 400 N Maclay Ave
San Fernando, CA 91340-2499 - Phone
- (818) 361-4084
- NPI assigned
- Jan 6, 2023
- Last updated
- Sep 5, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 108949 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
400 N Maclay Ave
San Fernando, CA 91340-2499
Mailing address
400 N Maclay Ave
San Fernando, CA 91340-2499
Phone (818) 361-4084
Other practice location 1
11301 Wilshire Blvd Bldg 500
Los Angeles, CA 90073-1003
Phone (310) 478-3711
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
| License | State | Type | Specialty |
|---|---|---|---|
| 108949 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riley Solanki Dental Partnership | General Practice | Current | Accepting new patients |
| Sahawaneh Dental Corporaton | Current | Accepting new patients |
Locations
400 N Maclay Ave
San Fernando, CA 91340
Phone (818) 361-4084
Organizations & group practices 2
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.
-
- General Practice Dentistry
- San Fernando, CA
- NPI 1093337289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693872000000",
"number": "1639883499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N MACLAY AVE",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913402499",
"telephone_number": "818-361-4084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N MACLAY AVE",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913402499",
"telephone_number": "818-361-4084"
}
],
"practiceLocations": [
{
"address_1": "11301 Wilshire Blvd Bldg 500",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900731003",
"country_code": "US",
"telephone_number": "310-478-3711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JANZER",
"first_name": "MARINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-06",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "108949",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Fernando, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.