Individual provider Active NPI

Poneh Ghasri, D.D.S.

  • Dentist
  • Encino, CA
National Provider Identifier
1649472176
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50058 Issued in CA
Practice address
16055 Ventura Blvd Ste 1035
Encino, CA 91436-2629
Phone
(818) 990-5240
Fax
(818) 900-2641
NPI assigned
Jun 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 50058 CA Primary

Addresses

Primary practice location

16055 Ventura Blvd Ste 1035
Encino, CA 91436-2629

Mailing address

6200 Wilshire Blvd
Ste 1508
Los Angeles, CA 90048-5801
Phone (323) 938-6137

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
50058CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ghasri Dental Corp Current Accepting new patients
Bijan Afar Dental Corporation PastSince Oct 26, 2022 Accepting new patients

Locations

16055 Ventura Blvd
Ste 1035
Encino, CA 91436
Phone (818) 990-5240

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1649472176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 WILSHIRE BLVD",
            "address_2": "STE 1508",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485801",
            "telephone_number": "323-938-6137",
            "fax_number": "323-938-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16055 VENTURA BLVD STE 1035",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362629",
            "telephone_number": "818-990-5240",
            "fax_number": "818-900-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHASRI",
        "first_name": "PONEH",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "50058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.

Verify at the official NPI Registry.