Individual provider Active NPI

Saman Nazarian, DDS

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1659709962
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
63022 Issued in CA
Practice address
858 S Shenandoah St Apt 5
Los Angeles, CA 90035-1724
Phone
(310) 228-8220
NPI assigned
Oct 23, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 63022 CA Primary

Addresses

Primary practice location

858 S Shenandoah St Apt 5
Los Angeles, CA 90035-1724

Mailing address

858 S Shenandoah St Apt 5
Los Angeles, CA 90035-1724
Phone (310) 228-8220

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
63022CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Saman Nazarian DDS, Inc. Current Accepting new patients

Locations

11998 Foothill Blvd
Sylmar, CA 91342
Phone (818) 897-5055

Interoperability endpoints

  • Direct secure messaging: snazarian@direct.westerndental.com

Organizations & group practices 1

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": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1659709962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "858 S SHENANDOAH ST APT 5",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351724",
            "telephone_number": "310-228-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "858 S SHENANDOAH ST APT 5",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351724",
            "telephone_number": "310-228-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZARIAN",
        "first_name": "SAMAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-23",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63022",
            "primary": true
        }
    ],
    "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 Apr 13, 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.