Active NPI
Frank Laaly, DDS, FICOI
- Oral and Maxillofacial Surgery (Dentist)
- Tarzana, CA
National Provider Identifier
1730347204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 56900
- Practice address
- 19228 Ventura Blvd Ste a
Tarzana, CA 91356-3101 - Phone
- (818) 578-5125
- NPI assigned
- May 30, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 56900 | CA | Primary |
| Dentist | 122300000X | 56900 | CA |
Addresses
Primary practice location
19228 Ventura Blvd Ste a
Tarzana, CA 91356-3101
Mailing address
442 N la Cienega Blvd Ste 208
West Hollywood, CA 90048-1934
Phone (310) 714-3691
Other practice location 1
528 Amalia Ave
Los Angeles, CA 90022-2630
Phone (323) 488-3366
Other practice location 2
8207 3rd St Ste 102
Downey, CA 90241-3730
Phone (800) 959-3732
Other names 1
- Dr. Farzan Frank Laaly
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | info@laimplants.com | Other | |
| Other URL | laaly@laimplants.com | Other |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56900 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shahin Shamsian D.D.S Inc | Dentist | Current | Accepting new patients |
Locations
19228 Ventura Blvd
Unit C
Tarzana, CA 91356
Phone (310) 666-4882
Organizations & group practices 1
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.
-
- Dentist
- Tarzana, CA
- NPI 1720444250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704499200000",
"number": "1730347204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "442 N LA CIENEGA BLVD STE 208",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900481934",
"telephone_number": "310-714-3691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19228 VENTURA BLVD STE A",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563101",
"telephone_number": "818-578-5125"
}
],
"practiceLocations": [
{
"address_1": "528 Amalia Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900222630",
"country_code": "US",
"telephone_number": "323-488-3366",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8207 3rd St Ste 102",
"address_purpose": "LOCATION",
"city": "Downey",
"state": "CA",
"postal_code": "902413730",
"country_code": "US",
"telephone_number": "800-959-3732",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAALY",
"first_name": "FRANK",
"name_prefix": "Dr.",
"credential": "DDS, FICOI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-30",
"last_updated": "2024-01-06",
"certification_date": "2024-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "56900",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "56900",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "info@laimplants.com",
"affiliation": "N",
"endpointDescription": "HIPPA Compliant Secure Email",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Los Angeles",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Los Angeles",
"address_1": "528 Amalia Ave",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900222630",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "laaly@laimplants.com",
"affiliation": "N",
"endpointDescription": "HIPPA Compliant Secure Email",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Electronic Communication",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Encrypted email",
"address_1": "442 N La Cienega Blvd Ste 208",
"city": "West Hollywood",
"state": "CA",
"country_code": "US",
"postal_code": "900481934",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "FARZAN",
"last_name": "LAALY",
"middle_name": "FRANK",
"prefix": "DR.",
"credential": "DDS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2024; 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.