David Esraeli DDS, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DAVID ESRAELI DDS, PC

Practice address

17651 Vanowen St Ste a
Van Nuys, CA 91406-4353

Phone

(818) 600-8743

NPI assigned

Feb 3, 2020

Organization subpart

No

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

Authorized official

Name

David Esraeli, DDS

Title

Doctor

Phone

(818) 825-9006

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• David Esraeli DDS, PC Doing business as

Practitioners 1

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

• Azita Fakheri, MD

  • Internal Medicine Physician
  • Tarzana, CA
  • NPI 1669410270
  NPD (past)

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1740811199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17651 VANOWEN ST STE A",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064353",
            "telephone_number": "818-600-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17651 VANOWEN ST STE A",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064353",
            "telephone_number": "818-600-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID ESRAELI DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-03",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "ESRAELI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "818-825-9006",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417435926",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David Esraeli DDS, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dart to Wellness
• Gayane Dashtoyan
• Data Soft Logic Corporation
• Kimberly Daugherty
• Davand Hospice and Palliative Care Services
• David Fuchs MD Inc
• David Lavian M.D. Inc.
• Armine Davidian
• Kimberly A Davido, CAMTC
• Siuzanna Davidoff

• Dental Clinic/Center in Van Nuys, CA
• Providers in Van Nuys, 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 Oct 27, 2022; 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.