NPIMap

Organization Active NPI

F.Manavi Dental Corporation

Doing business as West Coast Dental Group of Van Nuys

  • General Practice Dentistry
  • Van Nuys, CA
National Provider Identifier
1710101365
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38558 Issued in CA
Legal business name
F.MANAVI DENTAL CORPORATION
Doing business as
West Coast Dental Group of Van Nuys
Practice address
13716 Sherman Way
Van Nuys, CA 91405-2626
Phone
(818) 988-2020
Fax
(818) 988-2004
NPI assigned
Apr 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Farhad Manavi
Title
Owner
Phone
(818) 988-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 38558 CA Primary

Addresses

Primary practice location

13716 Sherman Way
Van Nuys, CA 91405-2626

Mailing address

13716 Sherman Way
Van Nuys, CA 91405-2626
Phone (818) 988-2020

Other names 1

  • WEST COAST DENTAL GROUP OF VAN NUYS Doing business as

National Provider Directory

National Provider Directory

Locations

13716 Sherman Way
Van Nuys, CA 91405
Phone (818) 744-5102

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710101365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13716 SHERMAN WAY",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052626",
            "telephone_number": "818-988-2020",
            "fax_number": "818-988-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13716 SHERMAN WAY",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052626",
            "telephone_number": "818-988-2020",
            "fax_number": "818-988-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F.MANAVI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANAVI",
        "authorized_official_first_name": "FARHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-988-2020"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST COAST DENTAL GROUP OF VAN NUYS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.