Pedram Azari Marhabi, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

53244 Issued in CA

Practice address

28212 Kelly Johnson Pkwy
#180
Valencia, CA 91355-5084

Phone

(310) 386-5053

NPI assigned

Jan 8, 2008

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Peter Brenn DDS PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Burbank, CA
  • NPI 1013605963
  NPD (past)

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1669657664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10856 ROSE AVE APT 210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900345362",
            "telephone_number": "310-386-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28212 KELLY JOHNSON PKWY",
            "address_2": "#180",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555084",
            "telephone_number": "310-386-5053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 W Olive Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915062411",
            "country_code": "US",
            "telephone_number": "818-563-3825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARHABI",
        "first_name": "PEDRAM",
        "middle_name": "AZARI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-08",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "53244",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "53244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Rose Bicierro Manzana, D.D.S.
• Maria Angelica Gabriel Marasigan, FNP
• Patricia Maravilla
• Angela Margolis
• Susan Elaine Margotta, LMFT
• Maricar Cutillar Garcia MD Inc
• Patricia Ann Marion, M.A.
• Mark Taheri DDS. Inc
• Kelly Markley
• Jefferson Marquez, PMHNP-BC

• Oral and Maxillofacial Surgery (Dentist) in Valencia, CA
• Providers in Valencia, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.