Jon B Marashi, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

52086 Issued in CA

Practice address

11777 San Vicente Blvd Ste 521
Los Angeles, CA 90049-5050

Phone

(310) 820-0300

Fax

(310) 826-6369

NPI assigned

May 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1750594636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11777 SAN VICENTE BLVD STE 521",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495050",
            "telephone_number": "310-820-0300",
            "fax_number": "310-826-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11777 SAN VICENTE BLVD STE 521",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495050",
            "telephone_number": "310-820-0300",
            "fax_number": "310-826-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARASHI",
        "first_name": "JON",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariam Maralyan
• Paul J Marano, M.D.
• Lindsay Faith Marantz
• Michael John Maranzano, M.D.
• Madison Maria Marasa-Fernandez
• Carolina Maravilla, PSYD
• Cynthia Maravilla, AUD
• Eileen Maravilla
• Jamie Lisette Maravilla
• Jasmin Maravilla

• 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 Jul 21, 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.