Individual provider Active NPI

Chantal Doreen Yamini Soomekh, DDS

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1750661930
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60488 Issued in CA
Practice address
1639 Camden Ave
#202
Los Angeles, CA 90025-7516
Phone
(310) 913-2883
NPI assigned
Aug 19, 2011
Last updated
Aug 19, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 60488 CA Primary

Addresses

Primary practice location

1639 Camden Ave
#202
Los Angeles, CA 90025-7516

Mailing address

PO Box 49829
Los Angeles, CA 90049-0829
Phone (310) 913-2883

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

LicenseStateTypeSpecialty
60488CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1750661930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49829",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900490829",
            "telephone_number": "310-913-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 CAMDEN AVE",
            "address_2": "#202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257516",
            "telephone_number": "310-913-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMINI SOOMEKH",
        "first_name": "CHANTAL",
        "middle_name": "DOREEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.