Astaraee Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS101265 Issued in CA

Legal business name

ASTARAEE DENTAL CORP

Practice address

11980 San Vicente Blvd Ste 819
Los Angeles, CA 90049-6606

Phone

(424) 372-9159

NPI assigned

Sep 6, 2018

Organization subpart

No

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

Authorized official

Name

Nima AstaraeeNPI 1497209183

Title

Dentist/Ceo

Phone

(619) 261-3933

Specialties & licenses 1

Addresses

Other names 1

• Luxe Dental Cosmetics Doing business as

Locations

Practitioners 2

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

• Nima Astaraee, DDS

  • Dentist
  • Los Angeles, CA
  • NPI 1497209183

  Single Specialty

  NPD Authorized official
• Ali Pourkhayat, DDS

  • Dentist
  • Los Angeles, CA
  • NPI 1912606252
  NPD

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1669954566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11870 SANTA MONICA BLVD STE 106418",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11980 SAN VICENTE BLVD STE 819",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496606",
            "telephone_number": "424-372-9159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9560 W Pico Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900351214",
            "country_code": "US",
            "telephone_number": "424-355-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASTARAEE DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "ASTARAEE",
        "authorized_official_first_name": "NIMA",
        "authorized_official_title_or_position": "DENTIST/CEO",
        "authorized_official_telephone_number": "619-261-3933"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS101265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luxe Dental Cosmetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Associated Healthcare Agency
• Priyanka Assudani, D.D.S.
• Assure Health Staffing of California, Inc.
• Assured Lifestyle Housing
• Astaraee BH DDS
• Astaraee DT
• Nima Astaraee, DDS
• Michelle Asten, LCSW
• Piper Lynne Asten, OTR/L
• William Astle, MD

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.