Active NPI
Ronan Rahimi, DMD
- Dentist
- Los Angeles, CA
National Provider Identifier
1649406638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 59163
- Practice address
- 1537 S Shenandoah St
Los Angeles, CA 90035-4480 - Phone
- (310) 735-4356
- NPI assigned
- Jun 3, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 59163 | CA | Primary |
| Dentist | 122300000X | 22DI02397100 | NJ |
Addresses
Primary practice location
1537 S Shenandoah St
Los Angeles, CA 90035-4480
Mailing address
1260 S Beverly Glen Blvd Apt 201
Los Angeles, CA 90024-5220
Phone (201) 927-9505
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02397100 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770940800000",
"number": "1649406638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1260 S BEVERLY GLEN BLVD APT 201",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900245220",
"telephone_number": "201-927-9505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1537 S SHENANDOAH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900354480",
"telephone_number": "310-735-4356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAHIMI",
"first_name": "RONAN",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-03",
"last_updated": "2026-02-13",
"certification_date": "2026-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "59163",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02397100",
"primary": false
}
],
"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 Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.