Individual provider Active NPI

Soheil Alexander Soleimani, DDS

  • Dentist
  • Culver City, CA
National Provider Identifier
1699950949
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
37922 Issued in CA
Practice address
5795 Washington Blvd
Culver City, CA 90232-7336
Phone
(310) 338-0444
Fax
(424) 398-0156
NPI assigned
Jan 7, 2008
Last updated
Jan 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 37922 CA Primary

Addresses

Primary practice location

5795 Washington Blvd
Culver City, CA 90232-7336

Mailing address

4411 Redondo Beach Blvd
Lawndale, CA 90260-3465
Phone (310) 338-0444

Other practice location 1

1080 E Washington St Ste B
Colton, CA 92324-4185
Phone (310) 338-0444

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
37922CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Soheil a Soleimani Dental Corp CurrentSince Jan 26, 2022 Accepting new patients
Soheil a Soleimani Dental Corp Dentist PastSince Jan 26, 2022 Accepting new patients
Soleimani Dental Corporation Dentist PastSince Feb 6, 2022 Accepting new patients

Locations

1080 E Washington St
Ste B
Colton, CA 92324
Phone (909) 783-9099

5795 Washington Blvd
Culver City, CA 90232
Phone (310) 338-0444

4411 Redondo Beach Blvd
Lawndale, CA 90260

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1699950949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 REDONDO BEACH BLVD",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902603465",
            "telephone_number": "310-338-0444",
            "fax_number": "424-398-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5795 WASHINGTON BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902327336",
            "telephone_number": "310-338-0444",
            "fax_number": "424-398-0156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1080 E Washington St Ste B",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923244185",
            "country_code": "US",
            "telephone_number": "310-338-0444",
            "fax_number": "424-398-0156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLEIMANI",
        "first_name": "SOHEIL",
        "middle_name": "ALEXANDER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-07",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "37922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.