Organization Active NPI

Sam a. Lavi DMD Inc

  • Dental Clinic/Center
  • Studio City, CA
National Provider Identifier
1659579142
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
41939 Issued in CA
Legal business name
SAM A. LAVI DMD INC
Practice address
4341 Laurel Canyon Blvd
Studio City, CA 91604-1710
Phone
(818) 980-8472
NPI assigned
Jul 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Shahram Abraham Lavi, DMDNPI 1245339043
Title
President
Phone
(818) 980-8472

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 41939 CA Primary

Addresses

Primary practice location

4341 Laurel Canyon Blvd
Studio City, CA 91604-1710

Mailing address

4341 Laurel Canyon Blvd
Studio City, CA 91604-1710
Phone (818) 980-8472

Other identifiers 1

IdentifierTypeStateIssuer
514524MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Sam a Lavi DMD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659579142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4341 LAUREL CANYON BLVD",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916041710",
            "telephone_number": "818-980-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4341 LAUREL CANYON BLVD",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916041710",
            "telephone_number": "818-980-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM A. LAVI DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAVI",
        "authorized_official_first_name": "SHAHRAM",
        "authorized_official_middle_name": "ABRAHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-980-8472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "41939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "514524",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.