Hani Kazem Tajsar, DMD, MPH

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

107822 Issued in CA

Practice address

10826 Washington Blvd
Culver City, CA 90232-3610

Phone

(310) 558-8123

Fax

(310) 558-8129

NPI assigned

Aug 24, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1639898455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10826 WASHINGTON BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323610",
            "telephone_number": "310-558-8123",
            "fax_number": "310-558-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10826 WASHINGTON BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323610",
            "telephone_number": "310-558-8123",
            "fax_number": "310-558-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAJSAR",
        "first_name": "HANI",
        "middle_name": "KAZEM",
        "name_prefix": "Dr.",
        "credential": "DMD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "107822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• T. Sano MD Inc
• Ta Solutions LLC
• Kristina Trang Ta, DDS
• Payam Taghizadeh, D.D.S.
• Kaveh Taheri, D.D.S.
• Brandon David Takahashi, D.C
• Ramon Luke Takaki
• Christian Joshua Talam, MENTAL HEALTH WORKER
• Nathan Tam
• Menoro Tan

• General Practice Dentistry in Culver City, CA
• Providers in Culver City, 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 24, 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.