Katayoun Setareh, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50822 Issued in CA

Practice address

5126 Garden Grove Ave
Tarzana, CA 91356-4339

Phone

(818) 326-3365

NPI assigned

Aug 22, 2006

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

Other names 1

• Dr. Katayoun Setareh Shenas Former name

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Katayoun Setareh

  • Dentist
  • Tarzana, CA
  • NPI 1548698137
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1710093406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5126 GARDEN GROVE AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5126 GARDEN GROVE AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564339",
            "telephone_number": "818-326-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETAREH",
        "first_name": "KATAYOUN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATAYOUN",
            "last_name": "SETAREH SHENAS",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robin Ann Sera, D.D.S.
• Serene Home Health, Inc
• Yuslaine Serrano Gutierrez
• Karma Serrano
• Andrea Isabel Serrato
• Deonae Sheree Shackelford-McMillian, LCSW
• Amber Lynn Shaffer
• Farnam Shah Vir, L.AC
• Nirav Jayprakash Shah, MD
• Sam Shahi, DPT

• General Practice Dentistry in Tarzana, CA
• Providers in Tarzana, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.