Abdolrazzagh Morvarid, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

36587 Issued in CA

Practice address

19100 Ventura Blvd
Suite 12
Tarzana, CA 91356-3234

Phone

(818) 342-3462

Fax

(818) 342-5069

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• A Morvarid DDS Inc

  • Dentist
  • Tarzana, CA
  • NPI 1205932647
  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720186919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19100 VENTURA BLVD",
            "address_2": "SUITE 12",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563234",
            "telephone_number": "818-342-3462",
            "fax_number": "818-342-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19100 VENTURA BLVD",
            "address_2": "SUITE 12",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563234",
            "telephone_number": "818-342-3462",
            "fax_number": "818-342-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORVARID",
        "first_name": "ABDOLRAZZAGH",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "36587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B36587-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Merle Timothy Morris
• Andrea Herzberg Morrison, M.D.
• Douglas J Morrow, MD
• Shana Morse
• Morvarid Neurology, Inc.
• Babak Morvarid, M.D.
• Kateryna Moskalenko, FNP
• Amy McCall Moss
• Philip Michael Mottola, DDS
• Mount Sinai Surgery Center LLC

• Dentist in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.