Edalat Dental Group, Apc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

EDALAT DENTAL GROUP, APC

Practice address

18450 Dearborn St
Northridge, CA 91325-2259

Phone

(310) 999-9669

NPI assigned

Sep 15, 2020

Organization subpart

No

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

Authorized official

Name

Saman Edalat, DDSNPI 1477744795

Title

President

Phone

(310) 999-9669

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Saman Edalat, D.D.S

  • Dentist
  • Whittier, CA
  • NPI 1477744795
  Medicare reassignment Authorized official
• Niosha Vakilian, DDS

  • Dentist
  • Northridge, CA
  • NPI 1205291671
  NPD
• Poria Edalat

  • Dentist
  • Whittier, CA
  • NPI 1750734075
  NPD (past)
• Sina Edalat, DDS

  • Dentist
  • Los Angeles, CA
  • NPI 1790167336
  NPD (past)

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1730794801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18450 DEARBORN ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913252259",
            "telephone_number": "310-999-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18450 DEARBORN ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913252259",
            "telephone_number": "310-999-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDALAT DENTAL GROUP, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "EDALAT",
        "authorized_official_first_name": "SAMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-999-9669",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohsen Ebneshahidi, M.D
• Shahin Ebrahimian, M.D.
• Candice Echeverria, IBCLC
• Daniel Echeverry Bustamante, PT
• Sarah Echlin
• Elizabeth Eddy-Bertrand, MD
• Stanley Edick, PHARM D
• Kendra Ednacot, DOCTOR OF PHARMACY
• Heidi Ann Edsall, PT
• Edwin O. Yellin MD, Inc

• Dental Clinic/Center in Northridge, CA
• Providers in Northridge, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.