Organization Active NPI

Sargon Lazarof D D S Inc

  • Dental Clinic/Center
  • Encino, CA
National Provider Identifier
1689335465
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SARGON LAZAROF D D S INC
Practice address
16101 Ventura Blvd Ste 350
Encino, CA 91436-2516
Phone
(818) 380-9057
NPI assigned
Jan 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Authorized official

Name
Sargon Lazarof, DDSNPI 1225351729
Title
President
Phone
(818) 380-9057

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

16101 Ventura Blvd Ste 350
Encino, CA 91436-2516

Mailing address

16101 Ventura Blvd Ste 350
Encino, CA 91436-2516

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1689335465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16101 VENTURA BLVD STE 350",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16101 VENTURA BLVD STE 350",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362516",
            "telephone_number": "818-380-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARGON LAZAROF D D S INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "LAZAROF",
        "authorized_official_first_name": "SARGON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-380-9057",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

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