Active NPI
Juliet Ebrahimian
- Dentist
- Glendale, CA
National Provider Identifier
1740749142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 102761
- Practice address
- 532 W Glenoaks Blvd
Glendale, CA 91202-2813 - Phone
- (818) 547-4949
- NPI assigned
- Mar 15, 2019
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 102761 | CA | Primary |
Addresses
Primary practice location
532 W Glenoaks Blvd
Glendale, CA 91202-2813
Mailing address
2129 E Glenoaks Blvd
Glendale, CA 91206-2933
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102761 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Juliet Ebrahimian DDS Inc | Dentist | Current | Accepting new patients |
| Pacific Dental Care | 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 and National Provider Directory roles.
-
- Dentist
- South Pasadena, CA
- NPI 1851046643
-
- Dental Clinic/Center
- Glendale, CA
- NPI 1255876843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552608000000",
"number": "1740749142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2129 E GLENOAKS BLVD",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912062933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "532 W GLENOAKS BLVD",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912022813",
"telephone_number": "818-547-4949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBRAHIMIAN",
"first_name": "JULIET",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-15",
"last_updated": "2019-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "102761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.