Parvaz Farnad Mizrahi, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

53062 Issued in CA

Practice address

99 N la Cienega Blvd Ste 308
Beverly Hills, CA 90211-2286

Phone

(310) 652-6491

Fax

(310) 652-6492

NPI assigned

Oct 28, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 10, 2020 through Jun 10, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1679726186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 N LA CIENEGA BLVD STE 308",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112286",
            "telephone_number": "310-652-6491",
            "fax_number": "310-652-6492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 N LA CIENEGA BLVD STE 308",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112286",
            "telephone_number": "310-652-6491",
            "fax_number": "310-652-6492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZRAHI",
        "first_name": "PARVAZ",
        "middle_name": "FARNAD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "53062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Missry, MCSW,CDP,MSW,MHP
• Krystal Mitchell, MD
• Danielle Cara Mitock, LMFT
• Joel D Mittleman, M.D.,
• Michael Tetsuya Miyazaki, D.O.
• Sanam Farokhi Mizrahi, PHARM D
• Lilia Mkhitaryan, APRN, FNP
• Mksdpt Inc
• Mmi Medical Group, Inc.
• Evelina Mnatsakanyan, AUD

• Oral and Maxillofacial Surgery (Dentist) in Beverly Hills, CA
• Providers in Beverly Hills, 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 Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.