Shirin Mashhoon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61162 Issued in CA

Practice address

11980 San Vicente Blvd
Suite 505
Los Angeles, CA 90049-5012

Phone

(310) 820-6691

NPI assigned

Mar 5, 2007

Last updated

Feb 23, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393113600000",
    "number": "1649309543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6031 FOUNTAIN PARK LN",
            "address_2": "APT # 5",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913673551",
            "telephone_number": "818-888-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11980 SAN VICENTE BLVD",
            "address_2": "SUITE 505",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495012",
            "telephone_number": "310-820-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASHHOON",
        "first_name": "SHIRIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2014-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "150551",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Maser, LCSW
• Sylvester Nwandimgbu Masha
• Nicki Mashayekan
• Rachel Kyley Mashburn, PHARM. D.
• Ardavan Mashhadian, D.O.
• Miriam Mashiah, BCBA
• Carmella N. Mashian, DDS
• Mikako Mashimo
• Sayena Mashkouri, D.M.D.
• Shailee Samir Mashruwala, DDS

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, 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 Feb 23, 2014; 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.