Individual provider Active NPI

Roya Malekzadeh, DDS

  • General Practice Dentistry
  • Woodland Hills, CA
National Provider Identifier
1679798953
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
CA-50642 Issued in CA
Practice address
5943 El Escorpion Rd
Woodland Hills, CA 91367-3924
Phone
(818) 943-8580
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X CA-50642 CA Primary

Addresses

Primary practice location

5943 El Escorpion Rd
Woodland Hills, CA 91367-3924

Mailing address

5943 El Escorpion Rd
Woodland Hills, CA 91367-3924
Phone (818) 943-8580

Other identifiers 1

IdentifierTypeStateIssuer
D50642OtherCADENTI-CAL

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
CA-50642CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1679798953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5943 EL ESCORPION RD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913673924",
            "telephone_number": "818-943-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5943 EL ESCORPION RD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913673924",
            "telephone_number": "818-943-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEKZADEH",
        "first_name": "ROYA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "CA-50642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "D50642",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.