Individual provider Active NPI

Arsham Dianat, DDS

  • Dentist
  • La Habra, CA
National Provider Identifier
1699107300
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
62566 Issued in CA
Practice address
1250 W Whittier Blvd
La Habra, CA 90631-3611
Phone
(562) 266-9277
NPI assigned
Aug 5, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 62566 CA Primary

Addresses

Primary practice location

1250 W Whittier Blvd
La Habra, CA 90631-3611

Mailing address

2850 Pinckard Ave
Redondo Beach, CA 90278-1535
Phone (310) 995-5037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160324000234 CA Order and Referring Only - DentistPractitioner - Dentist 7517264237

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62566CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Arsham Dianat DDS Inc CurrentSince Apr 16, 2023 Accepting new patients
Kourosh Dianat Past Accepting new patients

Locations

1250 W Whittier Blvd
La Habra, CA 90631
Phone (562) 266-9277

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1699107300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 PINCKARD AVE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902781535",
            "telephone_number": "310-995-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 W WHITTIER BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313611",
            "telephone_number": "562-266-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIANAT",
        "first_name": "ARSHAM",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-05",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "62566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Habra, CA

Sources for this page

Verify at the official NPI Registry.