Omid Vatan, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49259 Issued in CA

Practice address

8540 S Sepulveda Blvd Ste 108
Los Angeles, CA 90045-3818

Phone

(310) 906-1300

Fax

(424) 206-0662

NPI assigned

Oct 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Omid Vatan Dental Corp

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1750787800
  NPD (past) Authorized official
• Nilar Thein DDS a Professional Corporation

  • Dentist
  • Yorba Linda, CA
  • NPI 1164632923
  NPD (past)

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1740278662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD STE 108",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453818",
            "telephone_number": "310-906-1300",
            "fax_number": "424-206-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD STE 108",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453818",
            "telephone_number": "310-906-1300",
            "fax_number": "424-206-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VATAN",
        "first_name": "OMID",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "49259",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9279901",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Vasse
• Vasil N Vassilev, DC
• Athena Rai Vassilos
• Kumar Felipe Vasudevan, M.D.
• George Vatakencherry, MD
• Chaiyaporn Charles Vatanatham
• Divya Vats, MD
• Miranda Renee Mestas Vatterott, ASW
• Roshetta Vatuvei
• Janelle Vaughan, PMHNP-BC

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.