Active NPI
Homa Shahriari, DENTIST
- General Practice Dentistry
- Northridge, CA
National Provider Identifier
1720204134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 44258
- Practice address
- 8632 Balboa Blvd
Northridge, CA 91325-3505 - Phone
- (818) 894-6161
- Fax
- (818) 894-6001
- NPI assigned
- Apr 17, 2007
- Last updated
- May 24, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 44258 | CA | Primary |
Addresses
Primary practice location
8632 Balboa Blvd
Northridge, CA 91325-3505
Mailing address
8632 Balboa Blvd
Northridge, CA 91325-3505
Phone (818) 894-6161
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FHC70436F | Other | CA | MEDI-CAL NUMBER |
| B4425802 | Other | CA | MEDI-CAL PROVIDER NUMBER |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shahriari DDS Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Northridge, CA
- NPI 1841485059
-
- Dentist
- Encino, CA
- NPI 1669840583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369353600000",
"number": "1720204134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8632 BALBOA BLVD",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913253505",
"telephone_number": "818-894-6161",
"fax_number": "818-894-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8632 BALBOA BLVD",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913253505",
"telephone_number": "818-894-6161",
"fax_number": "818-894-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHRIARI",
"first_name": "HOMA",
"credential": "DENTIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2013-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "44258",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL NUMBER",
"identifier": "FHC70436F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL PROVIDER NUMBER",
"identifier": "B4425802",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
- Shazia Shah-Allibhoy, LMFT, NCSP, CAMS
- Dhwani Shah, PHARM.D
- Hira Shah, DO
- Shahim Ebrahimian, M.D., Inc
- Shahram Nouri Dental Corp.
- Shaik M. Saheb, MD, Inc. (Orthopedic and Sports Medicine Center)
- Debi Morgan Shakti, MA
- Mahboubeh Shamaeizadeh, ACUPUNCTURE
- Masoud Shamaeizadeh, DC
- Satenik Shamamyan, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.